Provider Demographics
NPI:1598347429
Name:TAYLOR HANSON, ERIN (EDS, NCSP, LPC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:TAYLOR HANSON
Suffix:
Gender:F
Credentials:EDS, NCSP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:844 W WORKS ST
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-4024
Mailing Address - Country:US
Mailing Address - Phone:858-837-2166
Mailing Address - Fax:
Practice Address - Street 1:844 W WORKS ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-4024
Practice Address - Country:US
Practice Address - Phone:858-837-2166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1494101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor