Individual
THOMAS L HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
2023 S 17TH ST, WILMINGTON, NC 28401-6600
(910) 251-6440
Mailing address
2419 CHESTNUT ST, WILMINGTON, NC 28405-2928
(910) 763-2510
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
734
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111799
—
NC
Enumeration date
03/15/2007
Last updated
07/09/2007
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