Individual
JACQUELYN HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
1910 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 775-2287
Mailing address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 775-2287
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16383-132
WI
101YM0800X
Mental Health Counselor
8075-125
WI
101YP2500X
Professional Counselor
Primary
8075-125
WI
Other
Enumeration date
06/21/2021
Last updated
07/30/2025
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