Provider Demographics
NPI:1194158394
Name:HAHN, ALAN J (LPC)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:J
Last Name:HAHN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 LEXINGTON DR
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-3325
Mailing Address - Country:US
Mailing Address - Phone:501-472-4473
Mailing Address - Fax:501-932-6379
Practice Address - Street 1:1308 OAK ST UNIT A
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-5339
Practice Address - Country:US
Practice Address - Phone:501-472-4473
Practice Address - Fax:501-932-6379
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-12
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1603038101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional