Individual
MR. MIGUELANGEL C FEDERICO HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.PSY., LPC, ACEP
Contact information
Practice address
4880 E 29TH ST, #17203, TUCSON, AZ 85711
(520) 444-7521
(954) 656-9317
Mailing address
1580 N KOLB RD STE 200, TUCSON, AZ 85715-4933
(520) 302-4954
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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