Provider Demographics
NPI:1295020873
Name:HANSER, ROBERT D (LPC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:HANSER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-0408
Mailing Address - Country:US
Mailing Address - Phone:318-397-1784
Mailing Address - Fax:
Practice Address - Street 1:420 WHEELIS ST
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71292-3940
Practice Address - Country:US
Practice Address - Phone:318-362-5558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1077101YA0400X
LA3747101YP2500X
TX18075101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)