Individual provider · Type 1 NPI
Terry Darlene Hansen
Addiction (Substance Use Disorder) Counselor · Medford, OR
NPI number
1619588464
Active
Practice location
777 Murphy Rd
Medford, OR 97504-8425
Fax (541) 734-3164
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1619588464
Terry Darlene Hansen's National Provider Identifier is 1619588464, issued on Aug 14, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Medford, OR. The record was last updated on Aug 14, 2020.