Doctor Name: | AARON HANNAH |
NPI Number: | 1033472964 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1704 Hwy. 69 Trumann, AR - 72472 |
Business Phone Number: | 8704834003 |
Business Fax Number: | 8704834009 |
Mailing Address: | 1815 Pleasant Grove Road, JONESBORO |
State: | AR |
Postal Code: | 72401 |
Phone Number: | 8709336886 |
Fax Number: | 8709339395 |
NPI Enumeration Date: | 06/15/2012 |
NPI Last Update Date: | 06/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |