Provider Demographics
NPI:1518071679
Name:HANSON, KARI ANN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:ANN
Last Name:HANSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:KARI
Other - Middle Name:ANN
Other - Last Name:VANBRAKLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 GOBBI STREET
Mailing Address - Street 2:
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482
Mailing Address - Country:US
Mailing Address - Phone:916-509-1754
Mailing Address - Fax:
Practice Address - Street 1:8928 VOLUNTEER LN STE 100
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826-3238
Practice Address - Country:US
Practice Address - Phone:707-707-5336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA123228101YM0800X, 106H00000X
CA67916101Y00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000008462OtherMEDI-CAL PROVIDER NUMBER
CA106H00000XOtherMEDICAL
106H0000XOtherMEDI-CAL
CA106H00000XOtherMEDICAL