Timothy Hansen
Counselor, Mental Health in Newark, NJ. Individual provider (NPI-1).
NPI number1063673473
StatusActive
Last updated in NPPESJun 18, 2008
Details
- NPI
- 1063673473
- Entity type
- Individual (NPI-1)
- Name
- Timothy Hansen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2008
- Last updated
- Jun 18, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
183 South Orange AveNewark, NJ 07103
Phone 800-969-5300
Mailing address
671 Hoes Ln W # C201Piscataway, NJ 08854-8021
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