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Individual

MR. RAYMOND ALAN HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC, LADC, CEAP

Contact information

Practice address
195 W MAIN ST, AVON, CT 06001-3685
(860) 916-1170
(860) 843-4939
Mailing address
PO BOX 261, SIMSBURY, CT 06070-0261
(860) 916-1170
(860) 843-4939

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
001238
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000685
CT

Other

Enumeration date
01/08/2007
Last updated
09/11/2025
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