MICHAEL JAY HANSON

FARGO, ND
NPI1831329549
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302532)
Enumeration Date2009-07-16
Last Update Date2009-07-16
Business Address
-- MICHAEL JAY HANSON LADC
1202 23RD STREET SOUTH
FARGO, ND 58103
Phone number: 701-293-5429
Mailing Address
-- MICHAEL JAY HANSON LADC
1202 23RD STREET SOUTH
FARGO, ND 58103
Phone number: 701-293-5429
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