Provider Demographics
NPI:1558034751
Name:HARKSEN, HANNAH (LSWAIC)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:HARKSEN
Suffix:
Gender:F
Credentials:LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7191 WAGNER WAY STE 304
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-6909
Mailing Address - Country:US
Mailing Address - Phone:253-468-7899
Mailing Address - Fax:
Practice Address - Street 1:7191 WAGNER WAY STE 304
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-6909
Practice Address - Country:US
Practice Address - Phone:253-468-7899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1080021041C0700X
WASC613333971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical