Individual
MRS. ERICA YVONNE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
211 HOLMES ST W STE 302, DETROIT LAKES, MN 56501-9905
(218) 847-0629
Mailing address
3508 WESTMOOR CIR, MOORHEAD, MN 56560-6923
(701) 261-7745
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01709
MN
101YP2500X
Professional Counselor
01709
MN
101YP2500X
Professional Counselor
CC01709
MN
Other
Enumeration date
06/18/2010
Last updated
08/12/2024
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