Hansen, Mollie

Hansen, Mollie is an sole proprietor health care provider with primary practice located at 5301 Tieton Dr Ste C , Yakima WA 98908. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Hansen, Mollie can be contacted via phone (509) 965-7100.

Contact Information

Primary practice address
5301 Tieton Dr Ste C Yakima WA 98908
Phone: (509) 965-7100
Fax: (509) 966-9750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X AB60925122 Washington
Behavioral Health & Social Service Providers / Counselor 101Y00000X G60655200 Washington

Profile Details

NPI number 1114375045
LBN Legal business name Hansen, Mollie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2016
Last updated Sep 24th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114375045 NPPES
Washington MEDICAID 2061184

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