Individual
JULIE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1512 CRUMS LN, LOUISVILLE, KY 40216-3861
(502) 589-8600
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
105479
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100287570
—
KY
Enumeration date
06/10/2009
Last updated
06/03/2016
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