Individual
MRS. EMILY RANA HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC, LPC-INTERN
Contact information
Practice address
1801 N RIVERSIDE DR, FORT WORTH, TX 76111-2732
(817) 601-8775
Mailing address
6315 TEN MILE BRIDGE RD, FORT WORTH, TX 76135-1339
(817) 800-0418
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13824
TX
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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