Individual
LORELEI LINN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
1720 S GOLD ST, CENTRALIA, WA 98531-8951
(360) 261-6930
Mailing address
694 EVANS RD, TOLEDO, WA 98591-9515
(360) 864-4055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61401870
WA
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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