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Organization
PL HANSEN COUNSELING INC
Active
Organization
PL HANSEN COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP LOUIS HANSEN LCSW (CLINICAL SOCIAL WORKER)
(801) 944-1666
Entity
Organization
Contact information
Practice address
8184 S HIGHLAND DR, SUITE C-8, SANDY, UT 84093-6477
(801) 944-1666
(801) 944-1698
Mailing address
8184 S HIGHLAND DR, SUITE C-8, SANDY, UT 84093-6477
(801) 944-1666
(801) 944-1698
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
139806-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11416122
AETNA
UT
01
—
264612
MHN
—
01
—
35627
RELIANT BEHAVIORAL HEALTH
UT
05
—
76387C
—
UT
01
—
IP308254
MAGELLAN
UT
Enumeration date
09/17/2013
Last updated
09/17/2013
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