Search › Wyoming › 1041C0700X
Blake Hansen, LCSW
NPI 1518281286 · on the registry since 2010
Practice
- Address
- 640 E Broadway
Jackson, WY 83001 - Phone
- (307) 733-2046
- Fax
- (307) 733-6289
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-07-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming