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Individual

MR. MIGUELANGEL C FEDERICO HASSAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.PSY., LPC, ACEP

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-18498
AZ
101YM0800X
Mental Health Counselor
LPC46.003104
CT
101YP2500X
Professional Counselor
Primary
LPC-18498
AZ
101YP2500X
Professional Counselor
LPC46.003104
CT
103T00000X
Psychologist
LPC46.003104
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008071926
CT
01
12766971
CAQH
01
LPC-18498
AZ BBHE
AZ
01
LPC-3104
CT DPH
CT
Enumeration date
02/06/2014
Last updated
04/10/2025
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