Basic Information
| Provider Information | |||||||||
| NPI: | 1770258253 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SPATES | ||||||||
| FirstName: | HANNAH | ||||||||
| MiddleName: | DUNCAN | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1477 N DONAHUE DR APT 3804 | ||||||||
| Address2: | |||||||||
| City: | AUBURN | ||||||||
| State: | AL | ||||||||
| PostalCode: | 368300253 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2563941220 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2431 E GLENN AVE STE 400 | ||||||||
| Address2: | |||||||||
| City: | AUBURN | ||||||||
| State: | AL | ||||||||
| PostalCode: | 368306504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3342757440 | ||||||||
| FaxNumber: | 3342185815 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/16/2021 | ||||||||
| LastUpdateDate: | 08/22/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/22/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 4473 | AL | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.