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NPI Code Detail

MEDICARE: SYDNEY A HANSEN MA, LPC, CAS

MEDICARE: SYDNEY A HANSEN MA, LPC, CAS
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) CounselorACB.8004CO
2101YP2500XProfessional CounselorLPC.12823CO

General Provider Information

NPI Number : 1265852230
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEY A HANSEN MA, LPC, CAS
Provider Business Mailing Address
First Line : 8310 S VALLEY HWY STE 300
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80112-5815
Country : US
Telephone Number : 314-391-8292
Fax Number :
Provider Business Practice Location Address
First Line : 8310 S VALLEY HWY STE 300
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80112-5815
Country : US
Telephone Number : 314-391-8292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2014
Last Update Date : 01/17/2025

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