Individual
HOLLY HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCI
Contact information
Practice address
35 NEWARK AVE, GOOSE CREEK, SC 29445-4513
(843) 797-7871
(843) 797-8638
Mailing address
35 NEWARK AVE, GOOSE CREEK, SC 29445-4513
(843) 797-7871
(843) 797-8638
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6305
SC
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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