Organization
HANSEN HEARTS COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY HANSEN LPCC (OWNER)
(701) 361-8870
Entity
Organization
Contact information
Practice address
3309 FIECHTNER DR S STE H, FARGO, ND 58103-2375
(701) 239-2567
(701) 403-8003
Mailing address
3519 PIERCE ST S, FARGO, ND 58104-7506
(701) 361-8870
(701) 403-8003
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
84261515
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1470012
—
ND
Enumeration date
07/10/2018
Last updated
07/10/2018
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