person
Mr. Gary Hannemann
Professional Counselor in Pagosa Springs, Colorado
NPI 1063443091

Gary Hannemann is a Professional Counselor based in Pagosa Springs, CO and is specialized in Professional. Gary Hannemann practices in Pagosa Springs, CO. The NPI Number for Gary Hannemann is 1063443091 and holds a License No. 1631 (Colorado).

The current practice location address for Gary Hannemann is 75 S Pagosa Blvd, Pagosa Springs, CO and can be reached out via phone at 970-946-2540.

Location: 75 S Pagosa Blvd, Pagosa Springs, CO, 81147-2601
person
Provider Profile Details
NPI Number
1063443091
Provider Name
Gary Hannemann
Credential
Provider Entity Type
Individual
Gender
Male
Address
75 S Pagosa Blvd, Pagosa Springs, CO, 81147-2601
Phone Number
970-946-2540
Fax Number
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0064381 01 NM MENTAL HEALTH COUNSELOR
1631 01 CO LPC
2624-125 01 WI LPC
institution
Provider Business Practice Location Address Details
Address
75 S Pagosa Blvd
City
State
Zip
81147-7910
Phone Number
970-946-2540
Fax Number
person
Provider Business Mailing Address Details
Address
75 S Pagosa Blvd
City
State
Zip
81147-7910
Phone Number
970-946-2540
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1631 (Colorado)
Definition
Definition to come...
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