Individual
MRS. JILL L HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
1415 MAGNAVOX WAY, SUITE 120, FORT WAYNE, IN 46804-1565
(260) 483-7207
(260) 483-0836
Mailing address
1415 MAGNAVOX WAY, SUITE 120, FORT WAYNE, IN 46804-1565
(260) 483-7207
(260) 483-0836
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001645A
IN
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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