Individual
AMBER HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8825 AERO DR STE 110, SAN DIEGO, CA 92123-2268
(858) 633-4115
Mailing address
8825 AERO DR STE 110, SAN DIEGO, CA 92123-2268
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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