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Individual

AUTUMN DAWN HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
106 S C ST STE B, LOMPOC, CA 93436-7339
(805) 741-4243
(805) 741-4243
Mailing address
106 S C ST STE B, LOMPOC, CA 93436-7339
(805) 741-4243

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
02/13/2020
Last updated
02/04/2026
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