Individual
ELIZABETH J HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1716 FORDEM AVE, MADISON, WI 53704-4604
(608) 221-3511
(608) 221-3514
Mailing address
1716 FORDEM AVE, MADISON, WI 53704-4604
(608) 221-3511
(608) 221-3514
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
950-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316343361
—
WI
Enumeration date
11/18/2014
Last updated
01/04/2021
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