Individual
MISS STEPHANIE JO HAMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
705 S 24TH AVE STE 400, WAUSAU, WI 54401-5242
(715) 848-1457
(715) 848-2959
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3379-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679506661
—
WI
Enumeration date
07/10/2006
Last updated
07/21/2022
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