Provider Demographics
NPI:1083346621
Name:HANS, FAHMO (LPCC)
Entity Type:Individual
Prefix:
First Name:FAHMO
Middle Name:
Last Name:HANS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GUILD SERVICES
Mailing Address - Street 2:122 WABASHA ST S #400,
Mailing Address - City:ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55107
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:GUILD SERVICES
Practice Address - Street 2:122 WABASHA ST S #400,
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55107
Practice Address - Country:US
Practice Address - Phone:734-747-0772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-30
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MNCC03644101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health