Individual
ANNE ELISABETH HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1751 N KENMORE AVE, LOS ANGELES, CA 90027-4011
(312) 231-9196
Mailing address
1751 N KENMORE AVE, LOS ANGELES, CA 90027-4011
(312) 231-9196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180010690
IL
101YM0800X
Mental Health Counselor
Primary
9217
CA
101YM0800X
Mental Health Counselor
CC01112
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q957194253121
DRIVERS LICENSE
MN
Enumeration date
06/08/2021
Last updated
06/28/2021
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