Individual
MR. ALAN ROBERT ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA/MA-PHD
Contact information
Practice address
1055 INTERNATIONAL LANE, HERSHEY, PA 17033-1337
(205) 495-7171
Mailing address
1055 INTERNATIONAL LN, HERSHEY, PA 17033-8804
(205) 495-7171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AL
101YP1600X
Pastoral Counselor
11435
FL
171M00000X
Case Manager/Care Coordinator
—
AL
222Q00000X
Developmental Therapist
—
PA
374U00000X
Home Health Aide
—
MA
Other
Enumeration date
11/07/2007
Last updated
10/29/2009
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