Individual
MRS. LORI KAY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, MA
Contact information
Practice address
328 3RD ST SW, WILLMAR, MN 56201-3475
(320) 231-9763
(320) 235-0334
Mailing address
328 3RD ST SW, WILLMAR, MN 56201-3475
(320) 231-9763
(320) 235-0334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302588
MN
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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