Individual
MRS. SALLY E HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LIMHP
Contact information
Practice address
5814 S 142ND ST, OMAHA, NE 68137-2853
(531) 466-4696
Mailing address
5814 S 142ND ST, OMAHA, NE 68137-2853
(531) 466-4696
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1404
NE
101YM0800X
Mental Health Counselor
3885
NE
Other
Enumeration date
05/27/2009
Last updated
08/03/2023
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