Individual
COLLEEN M. HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6040 STATE ROUTE 53 STE B, LISLE, IL 60532-3394
(630) 524-4000
(630) 524-2311
Mailing address
6040 STATE ROUTE 53 STE B, LISLE, IL 60532-3394
(630) 524-4000
(630) 524-2311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149010328
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS
022-27624
IL
Enumeration date
04/13/2007
Last updated
10/02/2025
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