| Hansen Counseling Ltd | |
|
19855 4th St Ste 106 Bend OR 97703-7814 | |
| (541) 388-8457 | |
| Not Available |
| Full Name | Hansen Counseling Ltd |
|---|---|
| Speciality | Social Worker |
| Location | 19855 4th St Ste 106, Bend, Oregon |
| Authorized Official Name and Position | Randi Hill Hansen (OWNER) |
| Authorized Official Contact | 5413888457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hansen Counseling Ltd 19855 4th St Ste 106 Bend OR 97703-7814 Ph: (541) 388-8457 | Hansen Counseling Ltd 19855 4th St Ste 106 Bend OR 97703-7814 Ph: (541) 388-8457 |
| NPI Number | 1932628211 |
|---|---|
| Provider Enumeration Date | 09/18/2017 |
| Last Update Date | 11/08/2021 |
| Certification Date | 11/08/2021 |
| Medicare PECOS PAC ID | 6002181963 |
|---|---|
| Medicare Enrollment ID | O20171004000211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932628211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Randi H Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578678702 PECOS PAC ID: 0941207906 Enrollment ID: I20061104000045 |
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