Provider Demographics
NPI:1366650392
Name:HANNA CHASE, DONNA FRANCES (MPCC)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:FRANCES
Last Name:HANNA CHASE
Suffix:
Gender:F
Credentials:MPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 AVENIDA MAJORCA
Mailing Address - Street 2:APT C
Mailing Address - City:LAGUNA WOODS
Mailing Address - State:CA
Mailing Address - Zip Code:92637-4191
Mailing Address - Country:US
Mailing Address - Phone:949-472-9677
Mailing Address - Fax:
Practice Address - Street 1:25431 CABOT ROAD
Practice Address - Street 2:SUITE 104
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653
Practice Address - Country:US
Practice Address - Phone:949-472-2280
Practice Address - Fax:714-995-3636
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMM19468106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist