Mark Andrew Hansen, LPCC 15352 Valid NPI
Individual provider · Professional Counselor · Tracy, CA
- NPI
- 1225465156
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 15352 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2013-10-10
- Last updated
- 2023-12-27
Practice location
1470 Bluegrass Ln
Tracy, CA 95377-9245
(925) 209-8546