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NPI Code Detail

MEDICARE: MIKEILA RAE HANSEN

MEDICARE: MIKEILA RAE HANSEN
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
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528929866
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIKEILA RAE HANSEN
Provider Business Mailing Address
First Line : PO BOX 988
Second Line :
City : KENAI
State : AK
Zip : 99611-0988
Country : US
Telephone Number : 907-335-7500
Fax Number :
Provider Business Practice Location Address
First Line : 508 UPLAND ST
Second Line :
City : KENAI
State : AK
Zip : 99611-8026
Country : US
Telephone Number : 907-335-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2025
Last Update Date : 12/04/2025

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Directions to “ MIKEILA RAE HANSEN ” Practice Location

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