Individual
ELIZABETH ROSE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2400 W 64TH ST, RICHFIELD, MN 55423-1001
(952) 746-2522
Mailing address
2400 W 64TH ST, RICHFIELD, MN 55423-1001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3411
MN
Other
Enumeration date
07/11/2022
Last updated
09/01/2022
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