Individual
MELANIE E HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1002 MONTGOMERY ST STE 200, FT WORTH, TX 76107-2693
(214) 943-9431
(214) 943-9407
Mailing address
PO BOX 226656, DALLAS, TX 75222-6656
(214) 943-9431
(214) 943-9407
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
20288
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84968L
BCBS
TX
01
—
84969L
BCBS
TX
01
—
84970L
BCBS
TX
01
—
84971L
BCBS
TX
01
—
84973L
BCBS
TX
Enumeration date
01/11/2007
Last updated
07/08/2007
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