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Mrs. Candace Latanya Hanson, MA,LPCC
Professional Counselor in Waverly, Minnesota
NPI 1376089532

Candace Latanya Hanson is a Professional Counselor based in St Louis Park, MN and is specialized in Professional. Candace Latanya Hanson practices in Waverly, MN and has the professional credentials of MA,LPCC. The NPI Number for Candace Latanya Hanson is 1376089532 and holds a License No. 1212 (Minnesota).

The current practice location address for Candace Latanya Hanson is 109 N Shore Dr, Waverly, MN and can be reached out via phone at 763-658-5810.

Location: 109 N Shore Dr, Waverly, MN, 55426-2042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376089532
Provider Name
Candace Latanya Hanson
Credential
MA,LPCC
Provider Entity Type
Individual
Gender
Female
Address
109 N Shore Dr, Waverly, MN, 55426-2042
Phone Number
763-658-5810
Fax Number
Provider Enumeration Date
01/12/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
109 N Shore Dr
City
Waverly
State
Minnesota
Zip
55390-5517
Phone Number
763-658-5810
Fax Number
person
Provider Business Mailing Address Details
Address
109 N Shore Dr
City
Waverly
State
Minnesota
Zip
55390-5517
Phone Number
763-658-5810
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
1212 (Minnesota)
Definition
Definition to come...
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