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Individual
DR. ERIC HANNEMAN
Active
Individual
DR. ERIC HANNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20-11-03
OR
101YM0800X
Mental Health Counselor
22-QMHA-R-2381
OR
Other
Enumeration date
09/22/2018
Last updated
08/06/2024
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