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Jennie Lee Hanson, MA, MFT Intern

Marriage & Family Therapist in Santa Ana, CA. Individual provider (NPI-1).

NPI number1306997663
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1306997663
Entity type
Individual (NPI-1)
Name
Ms. Jennie Lee Hanson
Credential
MA, MFT Intern
Sex
Female
Sole proprietor
No
Enumeration date
Jan 15, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family TherapistIMF 41268CAYes

Practice location

3100 S Harbor Blvd
Suite 200
Santa Ana, CA 92704-6823

Phone 714-966-8656

Mailing address

18719 Palm St
Fountain Valley, CA 92708-6440

Phone 714-968-4361

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