Individual provider · Type 1 NPI
Mark Andrew Hansen, LPCC 15352
Professional Counselor · Tracy, CA
NPI number
1225465156
Active
Practice location
1470 Bluegrass Ln
Tracy, CA 95377-9245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | H1012021917 (CA) |
| Professional Counselor Primary | 101YP2500X | 15352 (CA) |
Professional Counselor: Definition to come...
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About NPI 1225465156
Mark Andrew Hansen, LPCC 15352's National Provider Identifier is 1225465156, issued on Oct 10, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tracy, CA. The record was last updated on Dec 27, 2023.