Individual
MYRIAH HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2448 18TH AVE S, MINNEAPOLIS, MN 55404-4006
(651) 300-9213
Mailing address
2448 18TH AVE S, MINNEAPOLIS, MN 55404-4006
(651) 300-9213
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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