Individual
PATRICIA LAURA HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
6800 LAKESHORE DR, NEWPORT, MI 48166-9716
(269) 605-9287
Mailing address
6800 LAKESHORE DR, NEWPORT, MI 48166-9716
(269) 605-9287
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001558A
IN
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301013233
MI
Other
Enumeration date
01/17/2007
Last updated
07/02/2013
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