TIMOTHY HANSON

SAINT PAUL, MN
NPI1972131290
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN  304742)
Enumeration Date2020-03-31
Last Update Date2023-12-07
Business Address
TIMOTHY HANSON
1394 JACKSON ST STE 300
SAINT PAUL, MN 55117-4669
Phone number: 651-478-7815
Mailing Address
TIMOTHY HANSON
7235 GUIDER DR APT 105
WOODBURY, MN 55125-5344
Phone number: 651-361-0025
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