Individual
REBECCA LYNNE HANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
1263 MAIN ST STE 122, GREEN BAY, WI 54302-1341
(920) 393-9303
Mailing address
1263 MAIN ST STE 122, GREEN BAY, WI 54302-1341
(920) 393-9303
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1000-124
WI
106H00000X
Marriage & Family Therapist
2582
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134457047
—
WI
Enumeration date
04/17/2014
Last updated
01/09/2020
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