Individual provider · Type 1 NPI

Stephanie Marie Hanna, CADC 1

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1124658463 Active

Practice location

16420 SE Division St
Portland, OR 97236-1987

Call (503) 762-3130 Map

Fax (503) 762-3199

Mailing address

2500 Maitland Center Pkwy Ste 250
Maitland, FL 32751-4174

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18-07-03 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124658463

Stephanie Marie Hanna, CADC 1's National Provider Identifier is 1124658463, issued on Jan 24, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jan 24, 2020.