Provider Demographics
NPI:1972338531
Name:HANSON, BRIANNE NICOLE (TLMHC)
Entity type:Individual
Prefix:
First Name:BRIANNE
Middle Name:NICOLE
Last Name:HANSON
Suffix:
Gender:F
Credentials:TLMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1473 195TH AVE
Mailing Address - Street 2:
Mailing Address - City:OSCEOLA
Mailing Address - State:IA
Mailing Address - Zip Code:50213-8222
Mailing Address - Country:US
Mailing Address - Phone:515-238-9010
Mailing Address - Fax:
Practice Address - Street 1:1473 195TH AVE
Practice Address - Street 2:
Practice Address - City:OSCEOLA
Practice Address - State:IA
Practice Address - Zip Code:50213-8222
Practice Address - Country:US
Practice Address - Phone:515-238-9010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA123947101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health