Cheryl D Hanson, LMFT 138777

Individual provider Active NPI Marriage & Family Therapist · Ione, CA

NPI 1982308862 · NPPES record last updated Mar 27, 2023

Key facts

NPI
1982308862
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
138777 (CA)
Practice address
3685 Camanche Rd
Ione, CA 95640-9690
Phone
(209) 304-8894
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
138777CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 138777 CA Yes

Addresses

Primary practice location

3685 Camanche Rd
Ione, CA 95640-9690

Mailing address

3685 Camanche Rd
Ione, CA 95640-9690
Phone (209) 274-2514

Other providers in Ione, CA

All providers in Ione, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.