Provider Demographics
NPI:1922733393
Name:HANAN, SABRINA CLAY (LCPC NBC-HWC IFS)
Entity type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:CLAY
Last Name:HANAN
Suffix:
Gender:F
Credentials:LCPC NBC-HWC IFS
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 194
Mailing Address - Street 2:
Mailing Address - City:EMIGRANT
Mailing Address - State:MT
Mailing Address - Zip Code:59027-0194
Mailing Address - Country:US
Mailing Address - Phone:406-600-2595
Mailing Address - Fax:
Practice Address - Street 1:10 WHISPERING PRAIRIE LANE
Practice Address - Street 2:
Practice Address - City:EMIGRANT
Practice Address - State:MT
Practice Address - Zip Code:59027
Practice Address - Country:US
Practice Address - Phone:406-600-2595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-20
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT78531101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional