Individual provider · Type 1 NPI

Gary Hannemann

Professional Counselor · Pagosa Springs, CO

NPI number 1063443091 Active

Practice location

75 S Pagosa Blvd
Pagosa Springs, CO 81147-7910

Call (970) 946-2540 Map

Mailing address

PO Box 2601
Pagosa Springs, CO 81147-2601

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1631 (CO)
Professional Counselor 101YP2500X2624-125 (WI)
Professional Counselor 101YP2500X0064381 (NM)

Professional Counselor: Definition to come...

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About NPI 1063443091

Gary Hannemann's National Provider Identifier is 1063443091, issued on Jul 6, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pagosa Springs, CO. The record was last updated on Jul 21, 2022.