Provider Demographics
NPI:1891533188
Name:CESPDES, HANNA WATSON (LPC, ACS)
Entity type:Individual
Prefix:DR
First Name:HANNA
Middle Name:WATSON
Last Name:CESPDES
Suffix:
Gender:F
Credentials:LPC, ACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 MULBERRY ST STE G2
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-0615
Mailing Address - Country:US
Mailing Address - Phone:678-939-6601
Mailing Address - Fax:
Practice Address - Street 1:830 MULBERRY ST STE G2
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-0615
Practice Address - Country:US
Practice Address - Phone:678-939-6601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC013643101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health