Healthcare Provider Details

I. General information

NPI: 1760701692
Provider Name (Legal Business Name): MATTHEW R HAHN LPCMH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2010
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2099 S DUPONT HWY
DOVER DE
19901-5568
US

IV. Provider business mailing address

2099 S DUPONT HWY
DOVER DE
19901-5568
US

V. Phone/Fax

Practice location:
  • Phone: 302-674-1600
  • Fax:
Mailing address:
  • Phone: 302-314-3663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC-0000660
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCD-0000065
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC-0000660
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number005151
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: