Individual
MELONY ANN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW, SAC-IT
Contact information
Practice address
1321 N MAIN ST, VIROQUA, WI 54665-1156
(608) 637-7052
(608) 637-8500
Mailing address
66 E 3RD ST, 201, WINONA, MN 55987-3478
(507) 452-7292
(507) 457-9887
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15771-130
WI
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/07/2008
Last updated
06/11/2010
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