Individual
ERIC WAYNE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW LMFT
Contact information
Practice address
6600 FRANCE AVE S STE 230, EDINA, MN 55435-1810
(952) 460-9007
(651) 383-4935
Mailing address
2808 ALDRICH AVE S UNIT 9, MINNEAPOLIS, MN 55408-2179
(612) 309-7469
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9021
MN
106H00000X
Marriage & Family Therapist
2319
MN
Other
Enumeration date
05/21/2014
Last updated
09/17/2024
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