Individual
MR. ZACHERY E HANKE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2428 W REYNOLDS AVE OFC 185, CENTRALIA, WA 98531-4554
(360) 623-8020
Mailing address
2428 W REYNOLDS AVE OFC 185, CENTRALIA, WA 98531-4554
(360) 623-8020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
01/27/2022
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