Individual
RAEGAN ALEXA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TCADC
Contact information
Practice address
320 N EISENHOWER AVE, MASON CITY, IA 50401-1521
(641) 243-7204
Mailing address
320 N EISENHOWER AVE, MASON CITY, IA 50401-1521
(641) 243-7204
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T22185
IA
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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