MR. Ian Hansen, M.A. LMFT #121960
NPI #1154869519 in San Dimas, California
Provider Information
- NPI Number
- 1154869519
- Entity Type
- Individual
- Name
- MR. Ian Hansen, M.A. LMFT #121960
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Credential
- M.A. LMFT #121960
- Enumeration Date
- Feb 6, 2017
- Last Updated
- Sep 21, 2020
Practice Location
- Address
- 762 CYPRESS ST
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-3505
- Phone
- (909) 599-1227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
| Student in an Organized Health Care Education/Training Program |
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