Provider Demographics
NPI:1770258253
Name:SPATES, HANNAH DUNCAN (LPC)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:DUNCAN
Last Name:SPATES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1477 N DONAHUE DR APT 3804
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-0253
Mailing Address - Country:US
Mailing Address - Phone:256-394-1220
Mailing Address - Fax:
Practice Address - Street 1:2431 E GLENN AVE STE 400
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-6504
Practice Address - Country:US
Practice Address - Phone:334-275-7440
Practice Address - Fax:334-218-5815
Is Sole Proprietor?:No
Enumeration Date:2021-08-16
Last Update Date:2021-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4473101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional