ANDREW KENNETH HANSON

FORT CARSON, CO
NPI1467925370
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60557542)
Enumeration Date2019-01-03
Last Update Date2026-04-01
Business Address
Mr. ANDREW KENNETH HANSON SUDP
6541 SPECKER AVE # 1830
FORT CARSON, CO 80913-4263
Phone number: 719-526-7155
Mailing Address
Mr. ANDREW KENNETH HANSON SUDP
6541 SPECKER AVE # 1830
FORT CARSON, CO 80913-4263
Phone number: 719-526-7155