Hanson, Susan D

Hanson, Susan D is an sole proprietor health care provider with primary practice located at 1718 Jeanette Ave , St Charles IL 60174-4664. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Hanson, Susan D can be contacted via phone (630) 340-2351.

Contact Information

Primary practice address
1718 Jeanette Ave St Charles IL 60174-4664
Phone: (630) 340-2351
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178002054 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.002054 Illinois

Profile Details

NPI number 1922252568
LBN Legal business name Hanson, Susan D
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2008
Last updated May 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922252568 NPPES
Illinois MEDICAID SUSANHANSON3

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