Individual
JENNIE LYNN HANNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
122 S BARSTOW ST, SUITE 1, EAU CLAIRE, WI 54701-3642
(715) 855-1373
(715) 855-1375
Mailing address
122 S BARSTOW ST, SUITE 1, EAU CLAIRE, WI 54701-3642
(715) 855-1373
(715) 855-1375
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15627-131
WI
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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