MEDICARE: MARSHA HAMMAN MA, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	6401222758	MI

General Provider Information

NPI Number	:	1679299325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARSHA HAMMAN MA, LPC

Provider Business Mailing Address
First Line	:	10216 MIZZEN LN
Second Line	:
City	:	PLEASANT LAKE
State	:	MI
Zip	:	49272-9778
Country	:	US
Telephone Number	:	517-812-6679
Fax Number	:

Provider Business Practice Location Address
First Line	:	2536 SPRING ARBOR RD
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-3602
Country	:	US
Telephone Number	:	517-998-0999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2022
Last Update Date	:	10/14/2022

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