Individual provider · Type 1 NPI
Eric Hanneman, PhD
Addiction (Substance Use Disorder) Counselor · Newport, OR
NPI number
1689158917
Active
Practice location
1642 N Coast Hwy # 1658
Newport, OR 97365-2357
Mailing address
1328 NW Nye St
Newport, OR 97365-2443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 22-QMHA-R-2381 (OR) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 20-11-03 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1689158917
Eric Hanneman, PhD's National Provider Identifier is 1689158917, issued on Sep 22, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newport, OR. The record was last updated on Aug 6, 2024.