Organization
HANSON ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA HANSON-KAHN (CLINICAL DIRECTOR)
(770) 329-4663
Entity
Organization
Contact information
Practice address
3850 HOLCOMB BRIDGE RD STE 230, STE 230, SPALDING WOODS, NORCROSS, GA 30092-5240
(404) 846-7603
Mailing address
4849 MILL BROOK DR, ATLANTA, GA 30338-4905
(770) 329-4663
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC00002476
GA
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11739388
CAQH
—
01
—
1376678839
INDIVIDUAL NPI
—
05
—
401384226D
—
GA
Enumeration date
05/19/2014
Last updated
05/19/2014
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