Hansen, Jody

Hansen, Jody is an sole proprietor health care provider with primary practice located at 14500 S Outer 40 Rd Ste 108 , Chesterfield MO 63017-5736. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Hansen, Jody can be contacted via phone (314) 488-8798.

Contact Information

Primary practice address
14500 S Outer 40 Rd Ste 108 Chesterfield MO 63017-5736
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2001014183 Missouri

Profile Details

NPI number 1104816347
LBN Legal business name Hansen, Jody
Credentials M.A., L.P.C., N.C.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated Nov 11th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104816347 NPPES
Missouri Other 574624000 MAGELLAN
Missouri Other 025825 MAGELLAN
Missouri Other 241027937 MAGELLAN
Missouri Other 246952 MAGELLAN

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