Individual
ALLISON HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 N 1120 W, PROVO, UT 84604-1180
(801) 477-0532
Mailing address
1835 N 1120 W, PROVO, UT 84604-1180
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7192504-6009
UT
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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