Individual
RUSSELL ANDREW HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
5539 S 27TH ST STE 206, LINCOLN, NE 68512-1600
(402) 423-3600
(402) 423-3690
Mailing address
7250 REVERE LN, LINCOLN, NE 68516-2620
(402) 421-9559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
143
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47081808326
—
NE
Enumeration date
08/12/2006
Last updated
07/08/2007
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