MEDICARE: DANIEL HANSON

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
1	101YM0800X	Mental Health Counselor		MN

General Provider Information

NPI Number	:	1831801604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL HANSON

Provider Business Mailing Address
First Line	:	1 VETERANS DR
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55417-2309
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2268 16TH AVE E
Second Line	:
City	:	NORTH SAINT PAUL
State	:	MN
Zip	:	55109-2332
Country	:	US
Telephone Number	:	651-428-5950
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2022
Last Update Date	:	12/23/2022

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Directions to “ DANIEL HANSON ” Practice Location

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