Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | PC000668 | PA |
NPI | 1003111253 |
---|---|
Provider Name | Mr. Paul Todd Hansel |
First Address | Coatesville, PA 19320-3393 |
Second Address | Coatesville, PA 19320-3393 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2011 |
Last Update Date | 07/02/2013 |