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Individual

BERNADETTE CLAIRE HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
4318 SEBRING AVE, SEBRING, FL 33875-4820
(863) 382-3897
(863) 382-3897
Mailing address
4318 SEBRING AVE, SEBRING, FL 33875-4820
(863) 382-3897
(863) 382-3897

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4929
FL
101YM0800X
Mental Health Counselor
Primary
MH8651
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00590
BCBS
FL
05
767644100
FL
Enumeration date
09/01/2006
Last updated
11/13/2013
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