NPI 1013681006

Katherine Marie Hanlon

Practitioner Addiction (Substance Use Disorder) Counselor Glendale, AZ

Practice location

Address: 17235 N 75th Ave STE F100, Glendale, AZ 85308-0871
Phone: (480) 641-1165
Mailing address: 12081 West Lisbon Ln, El Mirage, AZ 85335

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

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Registry record

NPI: 1013681006
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Aug 2021
Record last updated: 4 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.