Individual
MRS. LISA T HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASSO. MFT
Contact information
Practice address
1031 S 1130 W, PAYSON, UT 84651-9603
(801) 465-2784
Mailing address
1031 S 1130 W, PAYSON, UT 84651-9603
(801) 465-2784
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4859896-3904
UT
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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