Individual
KARI L HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1415 TOWN SQUARE LN, FARIBAULT, MN 55021-6088
(507) 323-8100
Mailing address
1415 TOWN SQUARE LN # 55021, FARIBAULT, MN 55021-6088
(507) 323-8100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306916
MN
Other
Enumeration date
03/01/2024
Last updated
03/04/2024
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