Individual
MS. SAMANTHA J HANSON I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC, ATR
Contact information
Practice address
516 E WISCONSIN AVE, APPLETON, WI 54911-4863
(920) 659-0078
(920) 843-9395
Mailing address
516 E WISCONSIN AVE, APPLETON, WI 54911-4863
(920) 659-0078
(920) 843-9395
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5895
WI
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100040516
—
WI
Enumeration date
07/01/2014
Last updated
05/31/2024
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