Individual
MADISEN KAE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CACP
Contact information
Practice address
1668 HERLONG CT, ROCK HILL, SC 29732-1193
(803) 323-6384
(803) 328-2860
Mailing address
1521 HIBISCUS ST, COLUMBIA, SC 29205-4715
(843) 513-9944
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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