Individual
VICTOR D HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, BSW
Contact information
Practice address
1312 N MERIDIAN RD, KALISPELL, MT 59901-3095
(406) 756-6453
Mailing address
PO BOX 7115, KALISPELL, MT 59904-0115
(406) 756-6453
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1262
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1262
STATE LICENSE
MT
Enumeration date
06/03/2010
Last updated
06/03/2010
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