Provider Demographics
NPI:1255657409
Name:COLER HANSON, EMILY (MS, LMFT, CGP)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:
Last Name:COLER HANSON
Suffix:
Gender:F
Credentials:MS, LMFT, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ANNE CARLSEN CENTER
Mailing Address - Street 2:701 3RD ST NW
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58401-8000
Mailing Address - Country:US
Mailing Address - Phone:218-443-2837
Mailing Address - Fax:
Practice Address - Street 1:ANNE CARLSEN CENTER
Practice Address - Street 2:701 3RD ST NW
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-8000
Practice Address - Country:US
Practice Address - Phone:218-443-2837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-13
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND2012-040106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist