Individual
JENNIFER BROOKE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
2529 MAPLE AVE, ZANESVILLE, OH 43701-1833
(740) 297-8859
Mailing address
2529 MAPLE AVE, ZANESVILLE, OH 43701
(740) 297-8859
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.162728
OH
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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