Individual
LUCINDA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
3630 CAPITAL AVE SW, SUITE 1, BATTLE CREEK, MI 49015-7375
(269) 979-8333
(269) 979-7766
Mailing address
3630 CAPITAL AVE SW, SUITE 1, BATTLE CREEK, MI 49015-7375
(269) 979-8333
(269) 979-7766
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301008751
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2920843
—
MI
Enumeration date
05/30/2007
Last updated
07/08/2007
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