Doctor Name: | KAREN R HANSON |
NPI Number: | 1588004204 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 3378 |
Business Practice Address: | 1 Moock Rd Bldg B Suite 101 Wilder, KY - 410715465 |
Business Phone Number: | 8593419333 |
Business Fax Number: | 8593419444 |
Mailing Address: | 1 Moock Rd # B, Suite 101 WILDER |
State: | KY |
Postal Code: | 410715465 |
Phone Number: | 8593419333 |
Fax Number: | 8593419444 |
NPI Enumeration Date: | 06/26/2013 |
NPI Last Update Date: | 04/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 3378 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |