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Individual

ERIC HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMAC, RADC-P

Contact information

Practice address
30 WESTWOODS DR, LIBERTY, MO 64068-3519
(816) 781-8550
(816) 792-3219
Mailing address
30 WESTWOODS DR, LIBERTY, MO 64068-3519
(816) 781-8550
(816) 792-3219

Taxonomy

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

Other

Enumeration date
08/16/2020
Last updated
08/16/2020
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