Individual
MR. CORBY LOWELL HANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1845 COMMERCIAL ST SE, SALEM, OR 97302
(503) 371-7000
(503) 540-7724
Mailing address
1845 COMMERCIAL ST SE, SALEM, OR 97302
(503) 371-7000
(503) 540-7724
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C0057
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4572
LMFCC CA BD OF BEH SCI EX
CA
01
—
T0032
LMFT OBLPCT
OR
Enumeration date
12/28/2006
Last updated
07/08/2007
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