Canaan Hansen

NPI #1407492812 in Wasilla, Alaska

Provider Information

NPI Number: 1407492812
Entity Type: Individual
Name: Canaan Hansen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Nov 20, 2019
Last Updated: Nov 20, 2019

Practice Location

Address: 591 S KNIK GOOSE BAY RD
City: Wasilla
State: Alaska
ZIP Code: 99654-8062
Phone: (907) 313-1333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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