Organization
GEMINI PROFESSIONAL CLINICAL COUNSELOR, PC
Active
Other names
Gemini Professional Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE E HANSON LPCC (CEO)
(312) 231-9196
Entity
Organization
Contact information
Practice address
1751 N KENMORE AVE, LOS ANGELES, CA 90027-4011
(213) 262-3346
Mailing address
1751 N KENMORE AVE, LOS ANGELES, CA 90027-4011
(213) 262-3346
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265009161
—
CA
Enumeration date
07/15/2022
Last updated
07/15/2022
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