Individual
CAROL M HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
11911 SAN VICENTE BLVD, 280, LOS ANGELES, CA 90049-5086
(310) 280-8400
(310) 476-4685
Mailing address
390 S SEPULVEDA BLVD, 307, LOS ANGELES, CA 90049-3100
(310) 476-4685
(310) 476-4685
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFT34133
CA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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