| Doctor Name: | DR. DAVID EVANS HANSON |
| NPI Number: | 1285611350 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | LPC845 |
| Business Practice Address: | 219 North Ave Ste 201 La Follette, TN - 377662732 |
| Business Phone Number: | 4235661314 |
| Business Fax Number: | 4235662466 |
| Mailing Address: | 219 North Ave, Ste 201 LA FOLLETTE |
| State: | TN |
| Postal Code: | 377662732 |
| Phone Number: | 4235661314 |
| Fax Number: | 4235662466 |
| NPI Enumeration Date: | 12/29/2005 |
| NPI Last Update Date: | 07/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC845 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |