Healthcare Provider Details

I. General information

NPI: 1952578007
Provider Name (Legal Business Name): MRS. LORNA JANINE HANNI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. LORNA JANINE PENNISI

II. Dates (important events)

Enumeration Date: 05/08/2008
Last Update Date: 05/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5030 EL CAMINO AVE
CARMICHAEL CA
95608-4650
US

IV. Provider business mailing address

5030 EL CAMINO AVE
CARMICHAEL CA
95608-4650
US

V. Phone/Fax

Practice location:
  • Phone: 916-281-1640
  • Fax: 916-609-5100
Mailing address:
  • Phone: 925-212-5488
  • Fax: 916-609-5161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number53191
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: