Organization
RONNIE HANSEN THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE LOUISE HANSEN MSW, LCSW (OWNER)
(929) 515-4102
Entity
Organization
Contact information
Practice address
1229 MAIN ST., SUITE 107, PHILOMATH, OR 97370
(929) 515-4102
Mailing address
710 SW 57TH ST, CORVALLIS, OR 97333-4480
(541) 609-0462
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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