Individual provider · Type 1 NPI

John C. Hanson, SUDP-T

Addiction (Substance Use Disorder) Counselor · Spokane Valley, WA

NPI number 1639775109 Active

Practice location

10305 E Montgomery Dr
Spokane Valley, WA 99206-4220

Mailing address

4618 S Napa St
Spokane, WA 99223-6448

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1639775109

John C. Hanson, SUDP-T's National Provider Identifier is 1639775109, issued on Dec 9, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Spokane Valley, WA. The record was last updated on Dec 9, 2020.