Individual
ASHLEY DERENNE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3120 MEMORIAL DR, TWO RIVERS, WI 54241-3229
(920) 657-1780
Mailing address
833 N 12TH ST, MANITOWOC, WI 54220-3204
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3636-226
WI
101YP2500X
Professional Counselor
Primary
8653-125
WI
Other
Enumeration date
08/28/2017
Last updated
02/10/2025
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