Healthcare Provider Details

I. General information

NPI: 1750634838
Provider Name (Legal Business Name): KRISTI HANN MS, CAP, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2012
Last Update Date: 07/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 S WILSON ST
CASPER WY
82601
US

IV. Provider business mailing address

231 S WILSON ST
CASPER WY
82601-2941
US

V. Phone/Fax

Practice location:
  • Phone: 307-265-3791
  • Fax: 307-265-4480
Mailing address:
  • Phone: 307-265-3791
  • Fax: 307-265-4480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCAP-119
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-1641
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: