Hansen, Ian

Hansen, Ian is an individual health care provider with primary practice located at 762 Cypress St , San Dimas CA 91773-3505. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Hansen, Ian can be contacted via phone (909) 599-1227.

Contact Information

Primary practice address
762 Cypress St San Dimas CA 91773-3505
Phone: (909) 599-1227
Fax: (909) 670-1596
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 99567 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 121960 California

Profile Details

NPI number 1154869519
LBN Legal business name Hansen, Ian
Credentials M.A. LMFT #121960
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2017
Last updated Sep 21st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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