| Andrea D Hanson Lcmhc Pllc | |
|
11 W 2750 S Bountiful UT 84010-6418 | |
| (801) 928-4833 | |
| Not Available |
| Full Name | Andrea D Hanson Lcmhc Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11 W 2750 S, Bountiful, Utah |
| Authorized Official Name and Position | Andrea D Hanson (OWNER AND THERAPIST) |
| Authorized Official Contact | 3853554505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea D Hanson Lcmhc Pllc 11 W 2750 S Bountiful UT 84010-6418 Ph: (801) 928-4833 | Andrea D Hanson Lcmhc Pllc 11 W 2750 S Bountiful UT 84010-6418 Ph: (801) 928-4833 |
| NPI Number | 1104436559 |
|---|---|
| Provider Enumeration Date | 07/31/2020 |
| Last Update Date | 07/31/2020 |
| Certification Date | 07/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104436559 | NPI | - | NPPES |
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