Individual
DR. JEFFREY JAMES HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1600 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3898
(651) 379-5157
(651) 379-5159
Mailing address
605 HAWTHORNE AVE E, SAINT PAUL, MN 55130-3530
(612) 749-1421
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP6291
MN
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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