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Individual

MANDY J HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHP, LPC

Contact information

Practice address
8101 O ST STE 300, LINCOLN, NE 68510-2647
(402) 570-8726
Mailing address
6831 BETHANY PARK DR, LINCOLN, NE 68505-2290
(402) 570-8726

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2218
NE
101YP2500X
Professional Counselor
2265
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10027351500
NE
Enumeration date
03/22/2011
Last updated
10/20/2023
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