Individual
CHIAKU HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3200 MOTOR AVE, VISTA DEL MAR, LOS ANGELES, CA 90034
(323) 866-0555
Mailing address
3200 MOTOR AVE, VISTA DEL MAR, LOS ANGELES, CA 90034
(323) 866-0555
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2017
Last updated
07/21/2022
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