Doctor Name: | BRITTANY HANSON |
NPI Number: | 1023494507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC-C |
License Number: | XL4521 |
Business Practice Address: | 40 Summer St Bangor, ME - 044017144 |
Business Phone Number: | 2079454240 |
Business Fax Number: | |
Mailing Address: | 6 Alisia Ln, BELGRADE |
State: | ME |
Postal Code: | 049174149 |
Phone Number: | 2074469455 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2015 |
NPI Last Update Date: | 08/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | XL4521 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |