Provider Demographics
NPI:1013764117
Name:HANRAHAN, BRITTANY KRISTENE (LICSW)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:KRISTENE
Last Name:HANRAHAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2067
Mailing Address - Street 2:
Mailing Address - City:BEMIDJI
Mailing Address - State:MN
Mailing Address - Zip Code:56619-2067
Mailing Address - Country:US
Mailing Address - Phone:218-368-5159
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 427
Practice Address - Street 2:
Practice Address - City:REDLAKE
Practice Address - State:MN
Practice Address - Zip Code:56671-0427
Practice Address - Country:US
Practice Address - Phone:218-407-0420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN262971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical