Individual
DR. DAVID EVANS HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
219 NORTH AVE, STE 201, LA FOLLETTE, TN 37766-2732
(423) 566-1314
(423) 566-2466
Mailing address
219 NORTH AVE, STE 201, LA FOLLETTE, TN 37766-2732
(423) 566-1314
(423) 566-2466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC845
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251165000
MAGELLAN
—
01
—
4057512
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/29/2005
Last updated
07/03/2008
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