Individual
AMY K HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCDC
Contact information
Practice address
11200 BROADWAY ST STE 2743, PEARLAND, TX 77584-9787
(346) 204-2955
(832) 534-4147
Mailing address
716 STRATFORD ST, HIGHLANDS, TX 77562-2552
(620) 282-0831
(832) 534-4147
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11926
TX
101YM0800X
Mental Health Counselor
68843
TX
101YP2500X
Professional Counselor
Primary
68843
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3290637-02
—
TX
Enumeration date
06/02/2011
Last updated
02/12/2024
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