MEDICARE: FELECIA 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
1	101YP2500X	Professional Counselor	81189	TX

General Provider Information

NPI Number	:	1235722141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELECIA HANSEN

Provider Business Mailing Address
First Line	:	3318 TEAWICK CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-1944
Country	:	US
Telephone Number	:	281-736-5711
Fax Number	:

Provider Business Practice Location Address
First Line	:	3318 TEAWICK CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-1944
Country	:	US
Telephone Number	:	281-736-5711
Fax Number	:

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

Provider Enumeration Date	:	02/11/2021
Last Update Date	:	02/11/2021

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Directions to “ FELECIA HANSEN ” Practice Location

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