Alan Robert Addison, BA/MA-PHD
Individual provider Active NPI Mental Health Counselor · Hershey, PA
NPI 1710167747 · NPPES record last updated Oct 29, 2009
Key facts
- NPI
- 1710167747
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1055 International Lane
Hershey, PA 17033-1337 - Phone
- (205) 495-7171
- NPI assigned
- Nov 7, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11435 | FL | MD | Pastoral Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | AL | Yes | |
| Pastoral Counselor | 101YP1600X | 11435 | FL | |
| Case Manager/Care Coordinator | 171M00000X | AL | ||
| Developmental Therapist | 222Q00000X | PA | ||
| Home Health Aide | 374U00000X | MA |
Addresses
Primary practice location
1055 International Lane
Hershey, PA 17033-1337
Mailing address
1055 International LN
Hershey, PA 17033-8804
Phone (205) 495-7171
Other providers in Hershey, PA
- Cathleen Andrea Adams
- David R Adams
- Elizabeth E Adams
- Joshua Richard Adams
- Mata Alexi Adams
- Akintunde Adeolu Adebowale
- Monica Adedeji
- Margaret Omolara Adejolu
- Adedotun Adesiyakan
- Boluwaduro Abasiekem Adeyemi
All providers in Hershey, PA · Mental Health Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.