Individual
BHAVANI SAGE TEMPLE PARSONS HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 7TH AVE STE 150, SANTA CRUZ, CA 95062-4669
(831) 462-1060
(831) 462-4970
Mailing address
200 7TH AVE STE 150, SANTA CRUZ, CA 95062-4669
(831) 462-1060
(831) 462-4970
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11170
CA
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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