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Individual
MS. MISTY M HANNAH
Active
Individual
MS. MISTY M HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC012496
PA
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007288440012
—
PA
05
—
328834A336348
—
PA
Enumeration date
11/18/2005
Last updated
12/01/2021
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