Paul R Hannon, LCAC

NPI #1942588421 in Valparaiso, Indiana

Provider Information

NPI Number
1942588421
Entity Type
Individual
Name
Paul R Hannon, LCAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LCAC
Enumeration Date
Aug 1, 2011
Last Updated
Aug 1, 2011

Practice Location

Address
660 MORTHLAND DR STE A
State
Indiana
ZIP Code
46385-4638
Phone
(219) 462-9200

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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