Doctor Name: | PATRICK K HANLIN |
NPI Number: | 1063809515 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 6401014744 |
Business Practice Address: | 800 M- 139 Benton Harbor, MI - 49022 |
Business Phone Number: | 2699275400 |
Business Fax Number: | 2699349146 |
Mailing Address: | 50 Industrial Park Drive, BANGOR |
State: | MI |
Postal Code: | 490131246 |
Phone Number: | 2694277937 |
Fax Number: | 2694275180 |
NPI Enumeration Date: | 04/22/2015 |
NPI Last Update Date: | 04/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401014744 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |