Individual
DAVE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. L.P.C.
Contact information
Practice address
206 EASTGATE DR, MORGANTOWN, WV 26508-5939
(304) 241-5563
Mailing address
206 EASTGATE DR, MORGANTOWN, WV 26508-5939
(304) 241-5563
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1147
WV
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1147
WV
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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