Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | ||
N | 101YS0200X | School Counselor | 479841 | MN |
NPI | 1164009437 |
---|---|
Provider Name | Cherie Latrice Hanson |
First Address | Minneapolis, MN 55407-2327 |
Second Address | Richfield, MN 55423-2380 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2021 |
Last Update Date | 24/03/2021 |