Individual
KELSEY HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAS-MFT, LMFT
Contact information
Practice address
1130 E MISSOURI AVE STE 780, PHOENIX, AZ 85014-2730
(602) 777-6156
Mailing address
1130 E MISSOURI AVE STE 780, PHOENIX, AZ 85014-2730
(602) 777-6156
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-15241
AZ
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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