Individual
MS. ROSHELL ALISIA HANSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APC, NCC, CCTP
Contact information
Practice address
950 MARIETTA ST NW, ATLANTA, GA 30318-5595
(470) 210-7758
Mailing address
950 MARIETTA ST NW, ATLANTA, GA 30318-5595
(470) 210-7758
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006389
GA
101YM0800X
Mental Health Counselor
P05297
NY
Other
Enumeration date
04/25/2018
Last updated
01/11/2021
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