Individual
AMY S HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1048 WASHINGTON AVE, ALTON, IL 62002-2870
(314) 667-9410
Mailing address
1048 WASHINGTON AVE, ALTON, IL 62002-2870
(314) 667-9410
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
20022020527
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495955700
—
MO
Enumeration date
09/07/2006
Last updated
02/16/2016
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