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Kevin Conrad Hanauer
Mental Health Counselor in Phoenix, Oregon
NPI 1316631757

Kevin Conrad Hanauer is a Mental Health Counselor based in Ashland, OR and is specialized in Mental Health. Kevin Conrad Hanauer practices in Phoenix, OR. The NPI Number for Kevin Conrad Hanauer is 1316631757 and holds a License No. (Oregon).

The current practice location address for Kevin Conrad Hanauer is 149 S Main St, Phoenix, OR and can be reached out via phone at 541-535-4133.

Location: 149 S Main St, Phoenix, OR, 97520-9333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316631757
Provider Name
Kevin Conrad Hanauer
Credential
Provider Entity Type
Individual
Gender
Male
Address
149 S Main St, Phoenix, OR, 97520-9333
Phone Number
541-535-4133
Fax Number
Provider Enumeration Date
06/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
149 S Main St
City
Phoenix
State
Oregon
Zip
97535-6631
Phone Number
541-535-4133
Fax Number
person
Provider Business Mailing Address Details
Address
149 S Main St
City
Phoenix
State
Oregon
Zip
97535-6631
Phone Number
541-535-4133
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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