Individual provider · Type 1 NPI

Jordan Kameko Hansen, SUDP-T

Addiction (Substance Use Disorder) Counselor · Spokane, WA

NPI number 1245050392 Active

Practice location

44 E Cozza Dr
Spokane, WA 99208-6514

Call (509) 325-6800 Map

Fax (509) 326-5025

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X61028173 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1245050392

Jordan Kameko Hansen, SUDP-T's National Provider Identifier is 1245050392, issued on Oct 14, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Spokane, WA. The record was last updated on Oct 14, 2024.