Individual provider · Type 1 NPI

Jesse Hansen

Mental Health Counselor · Ketchikan, AK

NPI number 1104690965 Active

Practice location

2442 Tongass Ave
Ketchikan, AK 99901-5928

Call (907) 885-2280 Map

Mailing address

PO Box 7475
Ketchikan, AK 99901-2475

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104690965

Jesse Hansen's National Provider Identifier is 1104690965, issued on Nov 13, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ketchikan, AK. The record was last updated on Nov 13, 2023.