Individual
DR. ERIC HANNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1642 N COAST HWY # 1658, NEWPORT, OR 97365-2357
(541) 574-9050
Mailing address
1328 NW NYE ST, NEWPORT, OR 97365-2443
(541) 270-2281
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20-11-03
OR
101YM0800X
Mental Health Counselor
22-QMHA-R-2381
OR
Other
Enumeration date
09/22/2018
Last updated
08/06/2024
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