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NPI Code Detail

MEDICARE: ANNE M HANSEN LCPC

MEDICARE: ANNE M HANSEN LCPC
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
1101YP2500XProfessional Counselor180.012583IL

General Provider Information

NPI Number : 1023743473
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE M HANSEN LCPC
Provider Business Mailing Address
First Line : 750 OAKMONT LN
Second Line :
City : WESTMONT
State : IL
Zip : 60559-5551
Country : US
Telephone Number : 877-552-6672
Fax Number : 224-306-1878
Provider Business Practice Location Address
First Line : 750 OAKMONT LN
Second Line :
City : WESTMONT
State : IL
Zip : 60559-5551
Country : US
Telephone Number : 877-552-6672
Fax Number : 224-306-1878
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2022
Last Update Date : 07/20/2022

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