Mrs Candace Latanya Hanson, MA, LPCC is a
Counselor - Professional based in Waverly, Minnesota. Mrs Candace Latanya Hanson is licensed to practice in Minnesota (license number 1212) and her current practice location is
109 N Shore Dr, Waverly, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(763) 658-5810.
NPI number for Mrs Candace Latanya Hanson is 1376089532 and her current mailing address is 1831 Pennsylvania Ave S, St Louis Park, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376089532.
Healthcare Provider's Profile
Full Name | Mrs Candace Latanya Hanson |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 109 N Shore Dr, Waverly, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376089532
- Provider Enumeration Date: 01/12/2017
- Last Update Date: 01/12/2017
Medical Identifiers
Medical identifiers for Mrs Candace Latanya Hanson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376089532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 1212 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Candace Latanya Hanson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Candace Latanya Hanson, MA, LPCC 1831 Pennsylvania Ave S, St Louis Park, MN 55426-2042 Ph: (918) 770-1672 | Mrs Candace Latanya Hanson, MA, LPCC 109 N Shore Dr, Waverly, MN 55390-5517 Ph: (763) 658-5810 |
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