Individual provider · Type 1 NPI
Timothy Hanson
Addiction (Substance Use Disorder) Counselor · St. Paul, MN
NPI number
1972131290
Active
Practice location
1394 Jackson St Ste 300
St. Paul, MN 55117-4669
Mailing address
7235 Guider Dr Apt 105
Woodbury, MN 55125-5344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 304742 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1972131290
Timothy Hanson's National Provider Identifier is 1972131290, issued on Mar 31, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Paul, MN. The record was last updated on Dec 7, 2023.