TYLER HANSON

PORTLAND, ME
NPI1952019101
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  LC8120)
Enumeration Date2022-11-07
Last Update Date2022-11-07
Business Address
TYLER HANSON LADC, CCS
343 FOREST AVE
PORTLAND, ME 04101-2006
Phone number: 207-772-9800
Mailing Address
TYLER HANSON LADC, CCS
1184 HIGHLAND AVE
SOUTH PORTLAND, ME 04106-7807
Phone number: 207-318-8629
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