GARY DOUGLAS HANSEN

VENTURA, CA
NPI1508867649
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  LCS3740)
Enumeration Date2005-08-10
Last Update Date2007-07-08
Business Address
MR. GARY DOUGLAS HANSEN LCSW
1501 GOODYEAR AVE SUITE D
VENTURA, CA 93003-6438
Phone number: 805-650-8008
Mailing Address
MR. GARY DOUGLAS HANSEN LCSW
1501 GOODYEAR AVE SUITE D
VENTURA, CA 93003-6438
Phone number: 805-650-8008