Individual
MS. CHERYL JORDAN HANSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA CADCIII
Contact information
Practice address
421 NEBRASKA ST, STURGEON BAY, WI 54235
(920) 746-2345
(920) 746-2439
Mailing address
41 S 3RD AVE, APT 1, STURGEON BAY, WI 54235
(920) 743-8275
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11383
WI
Other
Enumeration date
01/18/2006
Last updated
07/08/2007
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