Individual
MS. HEIDI RENEE HANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LCADC
Contact information
Practice address
2620 RIVA RD, ANNAPOLIS, MD 21401-7305
(410) 573-5423
(410) 573-5401
Mailing address
7195 OHIO AVE, HANOVER, MD 21076-1128
(410) 852-0733
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA1992
MD
101YP2500X
Professional Counselor
Primary
LC4573
MD
Other
Enumeration date
08/27/2014
Last updated
11/14/2022
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