| Jessica Hansen, Pllc | |
|
1114 Meadowsweet Ln Vicksburg MI 49097-9487 | |
| (269) 760-6650 | |
| Not Available |
| Full Name | Jessica Hansen, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1114 Meadowsweet Ln, Vicksburg, Michigan |
| Authorized Official Name and Position | Jessica Hansen-vanabel (OWNER) |
| Authorized Official Contact | 2697606650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Hansen, Pllc 1114 Meadowsweet Ln Vicksburg MI 49097-9487 Ph: (269) 760-6650 | Jessica Hansen, Pllc 1114 Meadowsweet Ln Vicksburg MI 49097-9487 Ph: (269) 760-6650 |
| NPI Number | 1104332907 |
|---|---|
| Provider Enumeration Date | 12/17/2017 |
| Last Update Date | 12/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104332907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401011082 (Michigan) | Primary |
| 106H00000X | Marriage & Family Therapist | 4101006406 (Michigan) | Secondary |
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