Doctor Name: | MRS. JEANNE MARIE HANSEL |
NPI Number: | 1013051481 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 137460-3501 |
Business Practice Address: | 466 N Main St Clearfield, UT - 840153222 |
Business Phone Number: | 8019150329 |
Business Fax Number: | 8019150329 |
Mailing Address: | 2185 Wood Hollow Way, BOUNTIFUL |
State: | UT |
Postal Code: | 840101217 |
Phone Number: | 8019150329 |
Fax Number: | 8014443558 |
NPI Enumeration Date: | 02/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 137460-3501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |