Individual
VANCE ALLEN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NLT
Contact information
Practice address
1931 BOISE AVE STE 233, LOVELAND, CO 80538-4297
(970) 239-1210
Mailing address
1931 BOISE AVE STE 233, LOVELAND, CO 80538-4297
(970) 239-1210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0001939
CO
Other
Enumeration date
05/04/2020
Last updated
01/13/2022
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