Individual
HANNAH LEIGH COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
818 MADISON ST, ROCKPORT, IN 47635-1241
(812) 649-9168
(812) 649-4593
Mailing address
818 MADISON ST, ROCKPORT, IN 47635-1241
(812) 649-9168
(812) 649-4593
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3700-06-3774
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3700-06-3774
NOT LICENSED YET
IN
Enumeration date
03/11/2021
Last updated
03/11/2021
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