Provider Demographics
NPI:1376678839
Name:HANSON-KAHN, PAULA (MBS, MACP, LPC)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:HANSON-KAHN
Suffix:
Gender:F
Credentials:MBS, MACP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4849 MILL BROOK DR
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-4905
Mailing Address - Country:US
Mailing Address - Phone:770-329-4663
Mailing Address - Fax:
Practice Address - Street 1:3850 HOLCOMB BRIDGE RD
Practice Address - Street 2:STE 230, SPALDING WOODS,
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-5223
Practice Address - Country:US
Practice Address - Phone:404-846-7603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC002476101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional