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 |