Healthcare Provider Details

I. General information

NPI: 1104128347
Provider Name (Legal Business Name): HANNAH L WARE LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2010
Last Update Date: 01/09/2023
Certification Date: 11/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 IRON POINT CIR STE 140
FOLSOM CA
95630-8594
US

IV. Provider business mailing address

PO BOX 5113
EL DORADO HILLS CA
95762-0003
US

V. Phone/Fax

Practice location:
  • Phone: 702-608-2622
  • Fax:
Mailing address:
  • Phone: 702-608-2622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number125831
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number8100
License Number StateID
# 4
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number01275
License Number StateNV
# 7
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number01275
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: