Provider Demographics
NPI:1770332850
Name:BAER, HANNAH (MA COUNSELING)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:BAER
Suffix:
Gender:F
Credentials:MA COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4880 W UNIVERSITY AVE STE B2
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-3830
Mailing Address - Country:US
Mailing Address - Phone:702-660-5943
Mailing Address - Fax:
Practice Address - Street 1:4880 W UNIVERSITY AVE STE B2
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-3830
Practice Address - Country:US
Practice Address - Phone:702-660-5943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVC15396101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty