DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GARY HANNEMANN

Active Sole Proprietor

Professional Counselor · PAGOSA SPRINGS, CO

Registration Details

NPI Number
1063443091
Provider Type
Individual
Gender
Male
NPI Issued
Jul 6, 2006 (19.791252880531 yrs)
Last Updated
Jul 21, 2022
Licenses
1631 (CO)
2624-125 (WI)
0064381 (NM)
Sole Proprietor
Yes

Practice Information

Address
75 S PAGOSA BLVD
PAGOSA SPRINGS, CO, 811477910
Browse CO providers · Browse ZIP 81147
Phone
9709462540
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in PAGOSA SPRINGS, CO

Name Credential NPI
JENNIFER L BURLETON LPC 1265541585
MRS. KATHLEEN ALLEN MA LPC 1437204351
MR. JOSIAH S HARLAN LPC 1649597493
JACOB W ABBAS 1376003236
SARAH BARNES LPC 1174177117
DAVID NASRALLA LPC MA NCC 1912506536
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.