Individual provider · Type 1 NPI

Kelly Hanson

Mental Health Counselor · Shaker Heights, OH

NPI number 1215324975 Active

Practice location

22001 Fairmount Blvd
Shaker Heights, OH 44118-4819

Mailing address

2588 Kingston Rd
Cleveland Heights, OH 44118-4348

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1215324975

Kelly Hanson's National Provider Identifier is 1215324975, issued on Apr 21, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shaker Heights, OH. The record was last updated on Apr 21, 2015.