Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mark Andrew Hansen, LPCC15352

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1225465156

Mr. Mark Andrew Hansen, LPCC15352 is an Addiction (Substance Use Disorder) Counselor in Tracy, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
Specialties on file
2

Practice location Address checks out

1470 Bluegrass Ln
Tracy, CA 95377-9245
Phone: (925) 209-8546
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 15352 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence H1012021917 (CA)

Record details

NPI number1225465156
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC15352
Sole proprietorYes
NPI enumeratedOctober 10, 2013
Last updated in NPPESDecember 27, 2023
Certification dateDecember 27, 2023

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