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Mark Hanson
Professional Counselor in Shakopee, Minnesota
NPI 1780030387

Mark Hanson is a Professional Counselor based in Dundas, MN and is specialized in Professional. Mark Hanson practices in Shakopee, MN. The NPI Number for Mark Hanson is 1780030387 and holds a License No. CC01712 (Minnesota).

The current practice location address for Mark Hanson is 1455 Saint Francis Ave, Shakopee, MN and can be reached out via phone at 952-428-4062.

Location: 1455 Saint Francis Ave, Shakopee, MN, 55019-3978
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780030387
Provider Name
Mark Hanson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1455 Saint Francis Ave, Shakopee, MN, 55019-3978
Phone Number
952-428-4062
Fax Number
Provider Enumeration Date
05/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1455 Saint Francis Ave
City
Shakopee
State
Minnesota
Zip
55379-3374
Phone Number
952-428-4062
Fax Number
person
Provider Business Mailing Address Details
Address
1455 Saint Francis Ave
City
Shakopee
State
Minnesota
Zip
55379-3374
Phone Number
952-428-4062
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
CC01712 (Minnesota)
Definition
Definition to come...
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