Provider Demographics
NPI:1073051348
Name:HANSEN, GITI ZARNEGAR (LMFT)
Entity Type:Individual
Prefix:MS
First Name:GITI
Middle Name:ZARNEGAR
Last Name:HANSEN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 YOSEMITE DR
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-3951
Mailing Address - Country:US
Mailing Address - Phone:530-514-0108
Mailing Address - Fax:
Practice Address - Street 1:1074 EAST AVE
Practice Address - Street 2:SUITE A-4
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1005
Practice Address - Country:US
Practice Address - Phone:530-514-0108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA93388106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist