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Organization

ANDREA D HANSON LCMHC PLLC

Active
Other names
AEVI Interoceptive Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA D HANSON LCMHC (OWNER AND THERAPIST)
(385) 355-4505
Entity
Organization

Contact information

Practice address
11 W 2750 S, BOUNTIFUL, UT 84010-6418
(801) 928-4833
Mailing address
11 W 2750 S, BOUNTIFUL, UT 84010-6418
(801) 928-4833

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
07/31/2020
Last updated
07/31/2020
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