NPI 1104436559
Andrea D Hanson Lcmhc PLLC
Practice location
- Address
- 11 W 2750 S, Bountiful, UT 84010-6418
- Phone
- (801) 928-4833
Authorised official
- Name
- Andrea D Hanson
- Title
- Owner and Therapist
- Phone
- (385) 355-4505
Registered specialties (4)
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Professional Counselor
Adult Mental Health Clinic/Center
Adolescent and Children Mental Health Clinic/Center
Registry record
- NPI
- 1104436559
- Entity type
- Organization
- NPI issued
- 31 Jul 2020
- Record last updated
- 31 Jul 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.