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Individual
HANNAH NOEL KISSICK
Active
Individual
HANNAH NOEL KISSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, RPT, PPSC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
72328
CA
1041C0700X
Clinical Social Worker
1041C0700X
CA
1041C0700X
Clinical Social Worker
Primary
87310
CA
Other
Enumeration date
07/06/2016
Last updated
01/26/2021
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