Provider Demographics
NPI:1922592849
Name:HANNON, KARA (LADC II, CARC)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:HANNON
Suffix:
Gender:F
Credentials:LADC II, CARC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 HIGH ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-2939
Mailing Address - Country:US
Mailing Address - Phone:774-606-3698
Mailing Address - Fax:
Practice Address - Street 1:75 HIGH ST UNIT 2
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189-2939
Practice Address - Country:US
Practice Address - Phone:774-606-3698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-15
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)