MR. MARK ANDREW HANSEN LPCC 15352
NPI 1225465156
Counselor - Professional in Tracy, CA
Active since October 10, 2013
About Mr. Mark Andrew Hansen Lpcc 15352 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARK ANDREW HANSEN LPCC 15352 (NPI 1225465156) is an individual professional provider in Tracy, California, licensed in California (15352) and active in the NPI registry since October 2013.
NPPES Registry Identity
NPI1225465156
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MARK ANDREW HANSENCredential: LPCC 15352
Location Address1470 BLUEGRASS LNTracy, CA 95377-9245
Mailing Address1470 Bluegrass LnTracy, CA 95377-9245 · (925) 209-8546
Phone(925) 209-8546
Sole ProprietorYes
Enumeration DateOctober 10, 2013
Last NPPES UpdateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
✔ NPI 1225465156 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 15352
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License H1012021917 (CA)
1470 BLUEGRASS LN, Tracy, CA 95377
Other Names 1
Professional Name (2)Mr. Mark Andrew Hansen Lpcc
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225465156, enumerated as an "individual" on October 10, 2013.
The provider is located at 1470 BLUEGRASS LN TRACY, CA 95377 and the phone number is (925) 209-8546.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
