Doctor Name: | MRS. SABRINA M HANSON-REITER |
NPI Number: | 1588843882 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | 2007013562 |
Business Practice Address: | 110 2nd St S Ste 301 Waite Park, MN - 563871314 |
Business Phone Number: | 3202522976 |
Business Fax Number: | |
Mailing Address: | 110 2nd St S Ste 301, WAITE PARK |
State: | MN |
Postal Code: | 563871314 |
Phone Number: | 3202522976 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2007 |
NPI Last Update Date: | 09/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2007013562 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |