Individual
LARISSA FAYE STRATTON-HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
104 MALTON ROAD, NEGAUNEE, MI 49866
(609) 228-4692
Mailing address
104 MALTON RD, NEGAUNEE, MI 49866-2000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0520076
MI
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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