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Individual

CHARLES ALLEN HANSET SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRM II

Contact information

Practice address
1101 BROADWAY ST STE 130, VANCOUVER, WA 98660-3319
(503) 901-7471
Mailing address
1101 BROADWAY ST STE 130, VANCOUVER, WA 98660-3319
(503) 901-7471

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
175T00000X
Peer Specialist
175T00000X - PEER
OR
324500000X
Substance Abuse Rehabilitation Facility
Primary
12-CRM-070
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
175T00000X
: 175T00000X PEER SPECIALIST
OR
Enumeration date
11/21/2014
Last updated
09/16/2025
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