Healthcare Provider Details

I. General information

NPI: 1679148258
Provider Name (Legal Business Name): HANNAH G HARTMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2021
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date: 07/20/2026
Reactivation Date: 08/03/2026

III. Provider practice location address

517 3RD ST STE 33
EUREKA CA
95501-0460
US

IV. Provider business mailing address

1880 11TH ST APT A
ARCATA CA
95521-5406
US

V. Phone/Fax

Practice location:
  • Phone: 818-241-6780
  • Fax:
Mailing address:
  • Phone: 208-914-8350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number164409
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: