Individual
JENNIFER HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 19TH ST NE, WATERTOWN, SD 57201-2823
(605) 886-0123
Mailing address
PO BOX 1030, WATERTOWN, SD 57201-6030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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