Jennie Lee Hanson MA, MFT INTERN

NPI 1306997663 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1306997663
Gender Female
Enumeration Date 01/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3100 S HARBOR BLVD
SUITE 200
SANTA ANA CA, 92704-6823, US
Phone (714) 966-8656
Fax
Business Location
18719 PALM ST
FOUNTAIN VALLEY CA, 92708-6440, US
Phone (714) 968-4361
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number IMF 41268
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According to our database, Ms. Jennie Lee Hanson MA, MFT INTERN NPI is 1306997663, taxonomy code is 106H00000X and license number is IMF 41268, license state is located at California. Jennie Lee Hanson MA, MFT INTERN physically located at 3100 S Harbor Blvd, Santa Ana CA, 92704-6823. NPI Number Jennie Lee Hanson MA, MFT INTERN has the Individual type.

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1306997663 NPI number is provided on an as is basis without warranty of any kind. 1306997663 is maintained by the National Plan & Provider Enumeration System. The contents of Jennie Lee Hanson MA, MFT INTERN are for informational purposes only.