Provider Demographics
NPI:1902559362
Name:HAHN, BILLIE (LPCC, LADC)
Entity Type:Individual
Prefix:
First Name:BILLIE
Middle Name:
Last Name:HAHN
Suffix:
Gender:F
Credentials:LPCC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 WEDGEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-3141
Mailing Address - Country:US
Mailing Address - Phone:507-380-4989
Mailing Address - Fax:
Practice Address - Street 1:113 WEDGEWOOD CT
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-3141
Practice Address - Country:US
Practice Address - Phone:507-380-4989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty