Individual
JOHN E HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
2120 17TH ST, GREELEY, CO 80631-5126
(503) 593-3693
Mailing address
2120 17TH ST, GREELEY, CO 80631-5126
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1145
OR
103TC1900X
Counseling Psychologist
Primary
PSY.0005859
CO
Other
Enumeration date
12/22/2006
Last updated
04/29/2026
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