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NPI Code Detail

MEDICARE: MISS HANNAH HANSON LCDP

MEDICARE: MISS HANNAH HANSON LCDP
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDP00662RI

General Provider Information

NPI Number : 1730639667
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS HANNAH HANSON LCDP
Provider Business Mailing Address
First Line : 985 PLAINFIELD ST
Second Line :
City : JOHNSTON
State : RI
Zip : 02919-6703
Country : US
Telephone Number : 401-946-0650
Fax Number : 401-946-2407
Provider Business Practice Location Address
First Line : 985 PLAINFIELD ST
Second Line :
City : JOHNSTON
State : RI
Zip : 02919-6703
Country : US
Telephone Number : 401-946-0650
Fax Number : 401-946-2407
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2016
Last Update Date : 10/04/2016

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Directions to “ MISS HANNAH HANSON LCDP” Practice Location

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