Individual
HAYLEY ROSE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LPC
Contact information
Practice address
1063 S LAZONA DR, MESA, AZ 85204-5101
(480) 717-2223
Mailing address
1063 S LAZONA DR, MESA, AZ 85204-5101
(480) 717-2223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LAC-14590
AZ
101YP2500X
Professional Counselor
Primary
LPC-16371
AZ
Other
Enumeration date
06/08/2015
Last updated
01/03/2017
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