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Individual
VANCE ALLEN HANSEN
Active
Individual
VANCE ALLEN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NLT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0001939
CO
Other
Enumeration date
05/04/2020
Last updated
01/13/2022
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