| NPI | 1225465156 |
|---|---|
| Professional Name | MARK ANDREW HANSEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 15352) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA H1012021917) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2023-12-27 |