Hansen, Jacob

Hansen, Jacob is an individual health care provider with primary practice located at 405 S 1St St W , Missoula MT 59801-1850. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Hansen, Jacob can be contacted via phone (406) 541-8472.

Contact Information

Primary practice address
405 S 1St St W Missoula MT 59801-1850
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X BBH-LCPC-LIC-62388 Montana

Profile Details

NPI number 1316515117
LBN Legal business name Hansen, Jacob
Credentials PCLC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2021
Last updated May 19th, 2023 - about last year

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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