Individual
JORDAN KAMEKO HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP-T
Contact information
Practice address
44 E COZZA DR, SPOKANE, WA 99208-6514
(509) 325-6800
(509) 326-5025
Mailing address
44 E COZZA DR, SPOKANE, WA 99208-6514
(509) 325-6800
(509) 326-5025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61028173
WA
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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