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Individual
SHELLEY A HANSON
Active
Individual
SHELLEY A HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YP2500X
Professional Counselor
C1888
OR
106H00000X
Marriage & Family Therapist
15642
AZ
106H00000X
Marriage & Family Therapist
Primary
T0544
OR
Other
Enumeration date
09/28/2006
Last updated
01/31/2022
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