Provider Demographics
NPI:1871827717
Name:HAHN, LOUISE O (LPC)
Entity Type:Individual
Prefix:MS
First Name:LOUISE
Middle Name:O
Last Name:HAHN
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 1:3820 N PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27105-2643
Mailing Address - Country:US
Mailing Address - Phone:336-831-2788
Mailing Address - Fax:
Practice Address - Street 1:3820 N PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27105-2643
Practice Address - Country:US
Practice Address - Phone:336-831-2788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2059101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional