Doctor Name: | MS. GAIL POWELL HANSON |
NPI Number: | 1093839995 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCMHC |
License Number: | 0680000402 |
Business Practice Address: | 366 Dorset St Suite #10 South Burlington, VT - 054036209 |
Business Phone Number: | 8026547607 |
Business Fax Number: | 8026549155 |
Mailing Address: | Po Box 136, HUNTINGTON |
State: | VT |
Postal Code: | 054620136 |
Phone Number: | 8026547607 |
Fax Number: | 8026549155 |
NPI Enumeration Date: | 03/17/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0680000402 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |