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Individual
JOSEPH MICHAEL HANNAN
Active
Individual
JOSEPH MICHAEL HANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, MS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000055266
MEDICAREPIN
UT
01
—
260022408
RAILROAD MEDICARE
UT
05
—
8760003008007
—
UT
Enumeration date
10/10/2018
Last updated
07/21/2021
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