Provider Demographics
NPI:1811386261
Name:HANSON, GERALD JR (LPC)
Entity Type:Individual
Prefix:
First Name:GERALD
Middle Name:
Last Name:HANSON
Suffix:JR
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 1:7203 N GRAND PKWY W APT 4203
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-1668
Mailing Address - Country:US
Mailing Address - Phone:832-618-4263
Mailing Address - Fax:
Practice Address - Street 1:7203 N GRAND PKWY W APT 4203
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-1668
Practice Address - Country:US
Practice Address - Phone:832-618-4263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-22
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70587101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional