Individual
HANNA BAKKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
353 FOREST GROVE DR STE 100, PEWAUKEE, WI 53072-3765
(608) 778-7190
Mailing address
353 FOREST GROVE DR STE 100, PEWAUKEE, WI 53072-3765
(608) 778-7190
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10171-125
WI
Other
Enumeration date
12/13/2022
Last updated
09/10/2024
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