Individual
LEAH HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
304 W COLLIN RAYE DR STE 103A, DE QUEEN, AR 71832-2000
(870) 330-4460
(870) 330-4460
Mailing address
1015 E 35TH ST, TEXARKANA, AR 71854-2745
(870) 330-4460
(870) 330-4460
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10-10AE-PL
AR
101YM0800X
Mental Health Counselor
A1107064
AR
101YM0800X
Mental Health Counselor
Primary
P1503013
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116399726
—
AR
Enumeration date
05/19/2010
Last updated
04/25/2023
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