Individual provider · Type 1 NPI

Tyler Hanson, LADC, CCS

Addiction (Substance Use Disorder) Counselor · Portland, ME

NPI number 1952019101 Active

Practice location

343 Forest Ave
Portland, ME 04101-2006

Mailing address

1184 Highland Ave
South Portland, ME 04106-7807

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLC8120 (ME)

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

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About NPI 1952019101

Tyler Hanson, LADC, CCS's National Provider Identifier is 1952019101, issued on Nov 7, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, ME. The record was last updated on Nov 7, 2022.