Individual
MS. NATASHA MARIE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCIII
Contact information
Practice address
17242 S HEALTHCARE DR, LAVEEN, AZ 85339-8501
(520) 796-3860
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AZ
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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