Provider Demographics
NPI:1730630559
Name:HANSEN, NERINE MARSHA (LPC)
Entity type:Individual
Prefix:MS
First Name:NERINE
Middle Name:MARSHA
Last Name:HANSEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:NERINE
Other - Middle Name:MARSHA
Other - Last Name:COKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:15201 MASON RD STE 122
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-5955
Mailing Address - Country:US
Mailing Address - Phone:281-502-4571
Mailing Address - Fax:
Practice Address - Street 1:11101 WARWICK BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-2396
Practice Address - Country:US
Practice Address - Phone:757-595-8008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-17
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006813101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional