Individual
JENNIFER HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFTA
Contact information
Practice address
802 STONE CREEK PKWY STE 1A, LOUISVILLE, KY 40223-5393
(502) 653-7211
Mailing address
6008 CONCORD AVE, CRESTWOOD, KY 40014-9511
(502) 974-1387
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
292502
KY
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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