Individual
AMBERLY JILL HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDC-I
Contact information
Practice address
2661 WASHINGTON BLVD STE 102, OGDEN, UT 84401-3606
(801) 233-8670
Mailing address
2661 WASHINGTON BLVD STE 102, OGDEN, UT 84401-3606
(801) 233-8670
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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