Individual
DAVID GEORGE HANENBERGER
Active
Individual
DAVID GEORGE HANENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CAP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP4219
FL
1041C0700X
Clinical Social Worker
Primary
SW8931
FL
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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