Jessica Hansen-Vanabel, M.A.

Individual provider Active NPI Professional Counselor · Kalamazoo, MI

NPI 1306072087 · NPPES record last updated Oct 26, 2009

Key facts

NPI
1306072087
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
6401011082 (MI)
Practice address
5340 Holiday Ter
Kalamazoo, MI 49009-2196
Phone
(269) 372-4140
Fax
(269) 372-0390
NPI assigned
Jun 8, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401011082MIMDProfessional Counselor
4101006406MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Hansen, PLLC Professional Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401011082 MI Yes
Marriage & Family Therapist 106H00000X 4101006406 MI

Addresses

Primary practice location

5340 Holiday Ter
Kalamazoo, MI 49009-2196

Mailing address

5340 Holiday Ter
Kalamazoo, MI 49009-2196
Phone (269) 372-4140

Other names

  • Jessica Rae Hansen Former name

Other providers in Kalamazoo, MI

All providers in Kalamazoo, MI · Professional Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.