Individual
MS. PATRICIA JEAN HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
305 N CIRCLE DR, BLUE EARTH, MN 56013-1637
(507) 525-2823
(507) 526-5162
Mailing address
305 N CIRCLE DR, BLUE EARTH, MN 56013-1637
(507) 525-2823
(507) 526-5162
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1474
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
771159000
MEDICAL ASSISSTANCE
MN
Enumeration date
11/28/2006
Last updated
07/08/2007
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