| Doctor Name: | ANNIE RASHEEDAH HASAN |
| NPI Number: | 1003160490 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCAS-A |
| License Number: | 3083-A |
| Business Practice Address: | 1340 Mcarthur Rd Fayetteville, NC - 283111203 |
| Business Phone Number: | 9106246513 |
| Business Fax Number: | 9105685385 |
| Mailing Address: | 1340 Mcarthur Rd, FAYETTEVILLE |
| State: | NC |
| Postal Code: | 283111203 |
| Phone Number: | 9106246513 |
| Fax Number: | 9105685385 |
| NPI Enumeration Date: | 11/06/2012 |
| NPI Last Update Date: | 11/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 3083-A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |