Individual
DR. HANNAH REES WILDASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MA, LPC, LCPC
Contact information
Practice address
3400 BATH PIKE STE 304, BETHLEHEM, PA 18017-2486
(610) 360-3864
Mailing address
PO BOX 623, NAZARETH, PA 18064-0623
(610) 360-3864
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC013203
PA
Other
Enumeration date
05/11/2011
Last updated
02/09/2024
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