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Provider Information for 1730630559


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Ms. NERINE MARSHA HANSEN LPC


Other Names:  
Other Name: 
Ms. NERINE MARSHA COKE

Sex: Female

NPI: 1730630559
Last Updated: 2022-09-21
Certification Date: 2022-09-21

Details

NameValue
NPI1730630559
Enumeration Date2016-10-17
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 15201 MASON RD STE 122
CYPRESS, TX 77433-5955
United States

Phone: 281-502-4571 | Fax:
 
Primary Practice Address 11101 WARWICK BLVD
SUITE A
NEWPORT NEWS, VA 23601-2396
United States

Phone: 757-595-8008 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalVA0701006813