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NPI Code Detail

MEDICARE: HOPE S HANRON LCPC; LADC

MEDICARE: HOPE S HANRON LCPC; LADC
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
1101YP2500XProfessional CounselorCC2701ME
2101YA0400XAddiction (Substance Use Disorder) CounselorCAC2954ME

General Provider Information

NPI Number : 1710157060
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOPE S HANRON LCPC; LADC
Provider Business Mailing Address
First Line : 95 PARKER ST
Second Line :
City : NEWBURYPORT
State : MA
Zip : 01950-4033
Country : US
Telephone Number : 978-225-2250
Fax Number : 978-225-2251
Provider Business Practice Location Address
First Line : 440 FOREST AVE
Second Line :
City : PORTLAND
State : ME
Zip : 04101-2015
Country : US
Telephone Number : 207-730-8270
Fax Number : 978-225-2251
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2008
Last Update Date : 06/14/2010

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Directions to “ HOPE S HANRON LCPC; LADC” Practice Location

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