Individual
MS. DANA M HACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
22 E SECOND ST, FREDERICK, MD 21701-5303
(240) 422-3556
(301) 698-9369
Mailing address
26826 KAYE RD, LAUREL, DE 19956-2608
(240) 422-3556
(302) 990-5985
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AC1561
MD
1041C0700X
Clinical Social Worker
Primary
14435
MD
Other
Enumeration date
03/16/2012
Last updated
07/25/2018
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