Individual
AUTUMN PEASE HAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LPC
Contact information
Practice address
2645 EXECUTIVE PARK DR # 606, WESTON, FL 33331-3624
(954) 612-9553
Mailing address
2645 EXECUTIVE PARK DR # 606, WESTON, FL 33331-3624
(954) 612-9553
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH7183
FL
101YM0800X
Mental Health Counselor
LPC012398
GA
101YM0800X
Mental Health Counselor
Primary
MH10548
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003028800
—
FL
Enumeration date
07/12/2010
Last updated
09/27/2021
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