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Alicia Yvonne Hansen

Counselor, Mental Health in Grants Pass, OR. Individual provider (NPI-1).

NPI number1164076469
StatusActive
Last updated in NPPESJul 25, 2019

Details

NPI
1164076469
Entity type
Individual (NPI-1)
Name
Alicia Yvonne Hansen
Sex
Female
Sole proprietor
No
Enumeration date
Jul 25, 2019
Last updated
Jul 25, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

1055 Clarey St.
Grants Pass, OR 97526

Phone 541-476-2373

Mailing address

1215 Sw G St
Grants Pass, OR 97526-2544

Phone 541-476-2373

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