Individual
NATHANAEL PAUL HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1348 BALDWIN ST, JENISON, MI 49428-8937
(616) 202-1910
Mailing address
1348 BALDWIN ST, JENISON, MI 49428-8937
(616) 202-1910
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012367
MI
Other
Enumeration date
08/15/2011
Last updated
05/19/2024
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