Individual
GLENNA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1277 N 15TH ST, LARAMIE, WY 82072-2343
(307) 742-6222
(307) 742-6414
Mailing address
1277 N 15TH ST, LARAMIE, WY 82072-2343
(307) 742-6222
(307) 742-6414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-354
WY
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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