Individual
JENNIFER HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
3514 STELLHORN RD, FORT WAYNE, IN 46815-4631
(260) 267-0705
Mailing address
3514 STELLHORN RD, FORT WAYNE, IN 46815-4631
(260) 267-0705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88002370A
IN
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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