Provider Demographics
NPI:1750634838
Name:HANN, KRISTI (MS, CAP, LPC, NCC)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:
Last Name:HANN
Suffix:
Gender:F
Credentials:MS, CAP, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 S WILSON ST
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-2941
Mailing Address - Country:US
Mailing Address - Phone:307-265-3791
Mailing Address - Fax:307-265-4480
Practice Address - Street 1:231 S WILSON ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601
Practice Address - Country:US
Practice Address - Phone:307-265-3791
Practice Address - Fax:307-265-4480
Is Sole Proprietor?:No
Enumeration Date:2012-10-26
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC-1641101YP2500X
WYCAP-119101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYCAP-119OtherSTATE OF WY MENTAL HEALTH PROFESSIONS LICENSING BOARD
WYLPC-1641OtherLPC