Individual provider · Type 1 NPI
Jody Hansen, M.A., L.P.C., N.C.C.
Mental Health Counselor · Chesterfield, MO
NPI number
1104816347
Active
Practice location
14500 S Outer 40 Rd Ste 108
Chesterfield, MO 63017-5736
Mailing address
345 Remington Way Dr
Ballwin, MO 63021-6379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 2001014183 (MO) |
Mental Health Counselor: Definition to come...
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About NPI 1104816347
Jody Hansen, M.A., L.P.C., N.C.C.'s National Provider Identifier is 1104816347, issued on Oct 27, 2005. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chesterfield, MO. The record was last updated on Nov 11, 2009.