| Siri E. Hansen, Lcpc | |
|
629 Catino Ct Roselle IL 60172-3014 | |
| (630) 315-5118 | |
| Not Available |
| Full Name | Siri E. Hansen, Lcpc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 629 Catino Ct, Roselle, Illinois |
| Authorized Official Name and Position | Siri E. Hansen (SIRI E. HANSEN, LCPC OWNER) |
| Authorized Official Contact | 6303515118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siri E. Hansen, Lcpc 629 Catino Ct Roselle IL 60172-3014 Ph: (630) 315-5118 | Siri E. Hansen, Lcpc 629 Catino Ct Roselle IL 60172-3014 Ph: (630) 315-5118 |
| NPI Number | 1881434231 |
|---|---|
| Provider Enumeration Date | 05/31/2024 |
| Last Update Date | 05/31/2024 |
| Certification Date | 05/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881434231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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