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General NPI Number Information
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NPI Number | 1306735782
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Entity Type | Organization
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Legal Business Name | CAROL L HANSEN LPC PLLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 2604 SUNNYSIDE DR STE 203&205
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City | CADILLAC
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State | MI
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Zip | 49601-8749
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Country | US
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Telephone | 231-667-0473
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Fax |
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Provider Business Mailing Address
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Address Line | 15943 20TH AVE
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City | MARION
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State | MI
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Zip | 49665-8287
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Country | US
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Telephone | 231-388-3606
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | CAROL L HANSEN
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Credential | LPC
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Telephone | 231-667-0473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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