Gary Douglas Hansen in Ventura - Clinical
Gary Douglas Hansen - NPI 1508867649
Gary Douglas Hansen is a Clinical in Ventura, California. Gary Douglas Hansen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary Douglas Hansen is 1508867649. The last update date is 2007-07-08.
Gary Douglas Hansen's current location address is 1501 Goodyear Ave, Ventura, California. You can contact this provider via phone number 8056508008 and fax number 8056506533. The mailing address for Gary Douglas Hansen is 1501 Goodyear Ave, Ventura, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Douglas Hansen |
|---|---|
| Address | 1501 Goodyear Ave, Ventura, California |
| Phone Number | 8056508008 |
| Fax Number | 8056506533 |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1508867649 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1501 Goodyear Ave |
|---|---|
| City | Ventura |
| State | California (CA) |
| Post Code | 930036438 |
| Phone Number | 8056508008 |
| Fax Number | 8056506533 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS3740 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
Could you please provide the complete physical location address of Gary Douglas Hansen?
The Gary Douglas Hansen is physically situated at 1501 Goodyear Ave, in the city of Ventura, state of CA, with the postal code 930036438.
What is the Gary Douglas Hansen's specialty and taxonomy code?
The Gary Douglas Hansen's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Gary Douglas Hansen's 1508867649 issued?
The Gary Douglas Hansen's 1508867649 was issued on 2005-08-10.
On what date did the Centers for Medicare & Medicaid Services issue the 1508867649 to Gary Douglas Hansen?
The Gary Douglas Hansen received its 1508867649 assignment from the Centers for Medicare & Medicaid Services on 2005-08-10.
When was the information pertaining to Gary Douglas Hansen most recently updated or revised?
The details related to Gary Douglas Hansen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.