MEDICARE: JOYCE HANSEN LPC

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	101YP2500X	Professional Counselor	69280	TX

General Provider Information

NPI Number	:	1841646577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCE HANSEN LPC

Provider Business Mailing Address
First Line	:	3824 CEDAR SPRINGS RD # 396
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-4136
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 N STEMMONS FWY STE 151
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75207-2111
Country	:	US
Telephone Number	:	888-863-6808
Fax Number	:	214-951-0013

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

Provider Enumeration Date	:	05/12/2016
Last Update Date	:	05/12/2016

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Directions to “ JOYCE HANSEN LPC” Practice Location

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