Individual
EMILY HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
420 KELLOGG AVE, AMES, IA 50010-6226
(515) 233-2250
Mailing address
420 KELLOGG AVE, AMES, IA 50010-6226
(515) 233-2250
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13130
IA
Other
Enumeration date
02/04/2014
Last updated
03/18/2014
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