IndividualActive
Kevin Hanauer
NPI 1316631757 · Mental Health Counselor · Phoenix, OR
Provider details
- NPI number
- 1316631757
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
149 S Main St
Phoenix, OR 97535-6631
Phone: (541) 535-4133
Approximate (ZIP-level) locationGet directions
Mailing address
1131 N Main St
Ashland, OR 97520-9333
Registry dates
- Enumerated
- 2023-06-07
- Last updated
- 2023-06-07
- Certified
- 2023-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.