Individual
MR. KEITH D HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 COLEGATE DR, MARIETTA, OH 45750-2363
(740) 376-0930
(740) 376-0933
Mailing address
PO BOX 1385, PARKERSBURG, WV 26102-1385
(304) 422-1405
(304) 485-4466
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
F 1000001
OH
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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