Individual
GEORGIA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
410 CENTRAL AVE STE 503, GREAT FALLS, MT 59401-3128
(406) 750-1801
(406) 278-1229
Mailing address
410 CENTRAL AVE STE 503, GREAT FALLS, MT 59401-3128
(406) 534-9520
(406) 278-1229
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-48284
MT
101YM0800X
Mental Health Counselor
BBH-PCLC-LIC-42651
MT
Other
Enumeration date
02/10/2020
Last updated
02/13/2024
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