Healthcare Provider Details

I. General information

NPI: 1467736397
Provider Name (Legal Business Name): KRISTIN NOEL HANN OPRIS MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. KRISTIN NOEL HANN

II. Dates (important events)

Enumeration Date: 10/11/2011
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 W CASCADE WAY SUITE D
SPOKANE WA
99208-6017
US

IV. Provider business mailing address

123 W CASCADE WAY SUITE D
SPOKANE WA
99208-6017
US

V. Phone/Fax

Practice location:
  • Phone: 509-818-9964
  • Fax:
Mailing address:
  • Phone: 509-818-9964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberL2003307
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60302436
License Number StateWA
# 4
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLCPC-9077
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: