Hansen, Blake G
Hansen, Blake G is an individual health care provider with primary practice located at 640 E Broadway , Jackson WY 83001. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hansen, Blake G can be contacted via phone (307) 733-2046.Contact Information
Primary practice address
640 E Broadway
Jackson WY 83001
Phone: (307) 733-2046
Fax: (307) 733-6289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW- 365 | Wyoming |
Profile Details
| NPI number | 1518281286 |
|---|---|
| LBN Legal business name | Hansen, Blake G |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2010 |
| Last updated | Jul 16th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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