Individual
HEIDI JEAN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TCADC
Contact information
Practice address
320 N EISENHOWER AVE, MASON CITY, IA 50401-1521
(641) 424-2391
Mailing address
35300 210TH AVE, FOREST CITY, IA 50436-7667
(641) 590-3555
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T18015
IA
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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