Organization
JESSICA HANSEN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA HANSEN-VANABEL LPC, LMFT (OWNER)
(269) 760-6650
Entity
Organization
Contact information
Practice address
1114 MEADOWSWEET LN, VICKSBURG, MI 49097-9487
(269) 760-6650
Mailing address
1114 MEADOWSWEET LN, VICKSBURG, MI 49097-9487
(269) 760-6650
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011082
MI
106H00000X
Marriage & Family Therapist
4101006406
MI
Other
Enumeration date
12/17/2017
Last updated
12/17/2017
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