Individual
HANNAH CHRISTINE KONETZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC, LPC-IT
Contact information
Practice address
E7475 RAWHIDE RD, NEW LONDON, WI 54961-9025
(920) 982-6100
Mailing address
129 N JAMES ST, KIMBERLY, WI 54136-1838
(920) 277-9678
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7481-226
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
16452-132
WI
Other
Enumeration date
01/03/2018
Last updated
09/30/2024
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