MR. MARK ANDREW HANSEN LPCC 15352 NPI 1225465156

NPI Information

NPI: 1225465156
Provider Name: MR. MARK ANDREW HANSEN, LPCC 15352
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1470 BLUEGRASS LN
TRACY, CA
ZIP 95377
Phone: (925) 209-8546
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MR. Mark Andrew Hansen, LPCC 15352 is a professional counselor in Tracy, CA. MR. Mark Andrew Hansen, LPCC 15352 NPI is 1225465156. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1470 BLUEGRASS LN
TRACY, CA
ZIP 95377-245
Phone: (925) 209-8546

The enumeration date for this NPI number is 10/10/2013 and was last updated on 12/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	H1012021917	CALIFORNIA	No
2	101YP2500X	Counselor	Professional	15352	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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