Individual
RYAN DAVID HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SWLC
Contact information
Practice address
1609 W BABCOCK ST STE A, BOZEMAN, MT 59715-4018
(406) 585-9402
Mailing address
1609 W BABCOCK ST STE A, BOZEMAN, MT 59715-4018
(920) 840-7648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-SWLC-LIC-80943
MT
Other
Enumeration date
07/18/2025
Last updated
07/28/2025
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