Individual
JOHN C HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP-T
Contact information
Practice address
10305 E MONTGOMERY DR, SPOKANE VALLEY, WA 99206-4220
(206) 605-2209
Mailing address
4618 S NAPA ST, SPOKANE, WA 99223-6448
(509) 981-1766
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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