Individual
GINALYN HANSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2640 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94704-3238
(510) 981-5290
(510) 981-5265
Mailing address
2640 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94704-3238
(510) 981-5290
(510) 981-5265
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
ASW109467
CA
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
LCSW134204
CA
Other
Enumeration date
08/25/2021
Last updated
10/02/2025
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