Individual
CHRISTINE M HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LCSW SAC LPC
Contact information
Practice address
333 N GREEN BAY RD, NEENAH, WI 54956-1954
(920) 720-2300
(920) 720-3719
Mailing address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-2300
(920) 720-3719
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12499
WI
101YP2500X
Professional Counselor
915
WI
104100000X
Social Worker
Primary
1805-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39640300
—
WI
Enumeration date
08/18/2006
Last updated
08/04/2022
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