Individual
MRS. GRETA MARIE HAENISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
(419) 557-5179
Mailing address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
(419) 557-5179
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C0900297
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0900297
PROFESSIONAL COUNSELOR
OH
Enumeration date
12/18/2012
Last updated
06/12/2013
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