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NPI Code Detail

MEDICARE: ANDREA L HANSON LPCC

MEDICARE: ANDREA L HANSON LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor040055OH
2101YM0800XMental Health CounselorE. 0008344OH

General Provider Information

NPI Number : 1073729273
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA L HANSON LPCC
Provider Business Mailing Address
First Line : 1433 5TH ST NW
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-1223
Country : US
Telephone Number : 330-343-8171
Fax Number : 330-343-8439
Provider Business Practice Location Address
First Line : 1433 5TH ST NW
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-1223
Country : US
Telephone Number : 330-343-8171
Fax Number : 330-343-8439
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 02/19/2016

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Directions to “ ANDREA L HANSON LPCC” Practice Location

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