Individual
MS. JODY HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C., N.C.C.
Contact information
Practice address
14500 S OUTER 40 RD STE 108, CHESTERFIELD, MO 63017-5736
(314) 488-8798
Mailing address
345 REMINGTON WAY DR, BALLWIN, MO 63021-6379
(636) 230-9258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2001014183
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025825
VMC
MO
01
—
241027937
UNITED HEALTH CARE
MO
01
—
246952
COMPSYCH
MO
01
—
574624000
MAGELLAN
MO
Enumeration date
10/27/2005
Last updated
11/11/2009
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