Individual
KELLY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 320-8624
Mailing address
2588 KINGSTON RD, CLEVELAND HEIGHTS, OH 44118-4348
(216) 246-9783
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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