Individual
CASSIDY HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2B S WASHINGTON ST, OXFORD, MI 48371-4971
(248) 864-0614
Mailing address
22 N WILDER RD, LAPEER, MI 48446-3259
(810) 728-4540
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451021995
MI
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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