Individual
CRYSTAL HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
803 E DAKOTA AVE, PIERRE, SD 57501-3312
(605) 224-5811
Mailing address
803 E DAKOTA AVE, PIERRE, SD 57501-3312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13101605
SD
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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