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Individual

BRIAN J HANNI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
890 82ND DR, GLADSTONE, OR 97027-1803
(503) 659-5515
Mailing address
890 82ND DR, GLADSTONE, OR 97027-1803

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C4665
OR

Other

Enumeration date
04/09/2015
Last updated
01/17/2024
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