PAUL R HANNON

VALPARAISO, IN
NPI1942588421
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  87000841A)
Enumeration Date2011-08-01
Last Update Date2011-08-01
Business Address
-- PAUL R HANNON LCAC
660 MORTHLAND DR STE A
VALPARAISO, IN 46385-4638
Phone number: 219-462-9200
Mailing Address
-- PAUL R HANNON LCAC
660 MORTHLAND DR STE A
VALPARAISO, IN 46385-4638
Phone number: 219-462-9200
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