Provider Demographics
NPI:1669011367
Name:VERTREES, HANNAH LAYNE
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:LAYNE
Last Name:VERTREES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:LAYNE
Other - Last Name:NORWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2544 LANDS END DR
Mailing Address - Street 2:
Mailing Address - City:LAKEPORT
Mailing Address - State:CA
Mailing Address - Zip Code:95453-9609
Mailing Address - Country:US
Mailing Address - Phone:707-245-5357
Mailing Address - Fax:
Practice Address - Street 1:2544 LANDS END DR
Practice Address - Street 2:
Practice Address - City:LAKEPORT
Practice Address - State:CA
Practice Address - Zip Code:95453-9609
Practice Address - Country:US
Practice Address - Phone:707-245-5357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-27
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health