Individual
JESSICA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 COMMERCIAL ST, BROCKTON, MA 02302-3101
(508) 521-1020
Mailing address
7 PERRY ST, DARTMOUTH, MA 02748-1851
(781) 561-0112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
1889-MH-MF
MA
Other
Enumeration date
01/07/2016
Last updated
05/01/2023
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