Individual
MS. CAROLE ANN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA EDS MA LPC
Contact information
Practice address
3501 LAKE EASTBROOK BLVD SE, SUITE #140, GRAND RAPIDS, MI 49546-5938
(616) 957-5773
(616) 957-4466
Mailing address
3501 LK. EASTBROOK BLVE. SE,, SUITE #140, GRAND RAPIDS, MI 49546
(616) 957-5773
(616) 957-4466
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401005193
MI
Other
Enumeration date
05/09/2007
Last updated
11/05/2015
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