Individual
MS. GAIL DENISE HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCASA
Contact information
Practice address
201 LIVERMORE DR, 2ND FLOOR, PEMBROKE, NC 28372-7322
(910) 272-6420
(910) 521-4630
Mailing address
115 PEMBROKE POINTE LN, 3C, PEMBROKE, NC 28372-7359
(919) 561-2204
(919) 561-2204
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2564-A
NC
Other
Enumeration date
07/16/2007
Last updated
10/08/2012
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