Individual provider · Type 1 NPI

Kerri Eileen Hanlon, MA LPC CADC III MAC

Mental Health Counselor · Bend, OR

NPI number 1114113974 Active

Practice location

731 NW Franklin Ave Ste 107
Bend, OR 97701-2752

Call (541) 306-1128 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X06-07-72 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400X507243 (OR)
Mental Health Counselor Primary 101YM0800XC1852 (OR)

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About NPI 1114113974

Kerri Eileen Hanlon, MA LPC CADC III MAC's National Provider Identifier is 1114113974, issued on Sep 14, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on Feb 11, 2008.