Healthcare Provider Details

I. General information

NPI: 1922780469
Provider Name (Legal Business Name): HANNAH MAESE CATC II
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2023
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 TESCONI CIR STE A
SANTA ROSA CA
95401-4691
US

IV. Provider business mailing address

480 TESCONI CIR STE A
SANTA ROSA CA
95401-4691
US

V. Phone/Fax

Practice location:
  • Phone: 707-206-7268
  • Fax:
Mailing address:
  • Phone: 707-206-7268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number23062
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: