Healthcare Provider Details

I. General information

NPI: 1457273609
Provider Name (Legal Business Name): CHRISTOPHER HANESSIAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 CALLE ESPERANZA
SANTA BARBARA CA
93105-4019
US

IV. Provider business mailing address

280 CALLE ESPERANZA
SANTA BARBARA CA
93105-4019
US

V. Phone/Fax

Practice location:
  • Phone: 805-210-0294
  • Fax:
Mailing address:
  • Phone: 805-210-0294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number152231
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: