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Jesse Hansen
Mental Health Counselor in Ketchikan, Alaska
NPI 1104690965

Jesse Hansen is a Mental Health Counselor based in Ketchikan, AK and is specialized in Mental Health. Jesse Hansen practices in Ketchikan, AK. The NPI Number for Jesse Hansen is 1104690965 and holds a License No. (Alaska).

The current practice location address for Jesse Hansen is 2442 Tongass Ave, Ketchikan, AK and can be reached out via phone at 907-885-2280.

Location: 2442 Tongass Ave, Ketchikan, AK, 99901-2475
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104690965
Provider Name
Jesse Hansen
Credential
Provider Entity Type
Individual
Gender
Male
Address
2442 Tongass Ave, Ketchikan, AK, 99901-2475
Phone Number
907-885-2280
Fax Number
Provider Enumeration Date
11/13/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1703638 05 AK
1713721 05 AK
institution
Provider Business Practice Location Address Details
Address
2442 Tongass Ave
City
Ketchikan
State
Alaska
Zip
99901-5928
Phone Number
907-885-2280
Fax Number
person
Provider Business Mailing Address Details
Address
2442 Tongass Ave
City
Ketchikan
State
Alaska
Zip
99901-5928
Phone Number
907-885-2280
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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