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MRS. DENISE NINA DE LANGE-HANSEN

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1861560732

Individual Registrant:
MRS. DENISE NINA DE LANGE-HANSEN 
Gender: F
Sole Proprietor

Location and contact information for practice:
504 MAIN ST  DIAMOND SPRINGS, CA 95619-9109 US
Tel: 530-642-0843  Fax: 530-642-0843

Contact information for business:
PO BOX 699  LOTUS, CA 95651-0699 US
Tel: 530-642-0843  Fax: 530-642-0843

Registration Information:
NPI: 1861560732
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
CALCS4252

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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