Individual
STACEE J HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.; NCC; PPC
Contact information
Practice address
2001 DEWAR DR, SUITE 270, ROCK SPRINGS, WY 82901-5773
(307) 382-3058
Mailing address
911 MONROE DR, ROCK SPRINGS, WY 82901-4439
(307) 362-3916
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PPC-629
WY
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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