Provider Demographics
NPI:1043763998
Name:ANEW, HANNAH AMELY (LMFT 111779)
Entity Type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:AMELY
Last Name:ANEW
Suffix:
Gender:F
Credentials:LMFT 111779
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 W MISSION AVE
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-1729
Mailing Address - Country:US
Mailing Address - Phone:760-745-0281
Mailing Address - Fax:760-745-0778
Practice Address - Street 1:337 W MISSION AVE
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-1729
Practice Address - Country:US
Practice Address - Phone:760-745-0281
Practice Address - Fax:760-745-0778
Is Sole Proprietor?:No
Enumeration Date:2016-07-27
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA111779106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health