Carl Joseph Hanning | Tacoma, WA • PECOS Search

Carl Joseph Hanning

Counselor

Behavioral Health & Social Service Providers

1516 S 11th St, Tacoma, WA 98405-3332

(253) 396-1634 (206) 764-3335

PECOS Enrollment

Based on the most recent information from CMS, provider Carl Joseph Hanning does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1649379512
Provider Type
Individual
Full Name
Hanning, Carl Joseph
Title
Mr.

Gender
Male
Sole Proprietor
No
Enumeration Date
9/21/2006
Last Updated
1/4/2008

Contact Information

Practice Location

1516 S 11th St, Tacoma, WA 98405-3332

(253) 396-1663

Mailing Location

PO Box 34703, Seattle, WA 98124-1703

(206) 764-0489

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License RC00031248 Washington