Individual
KIRA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 CUSHMAN ST STE 200, FAIRBANKS, AK 99701-4680
(907) 452-5252
Mailing address
1211 CUSHMAN ST STE 200, FAIRBANKS, AK 99701-4680
(907) 452-5252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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