Individual
WENDY R HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, PLMHP
Contact information
Practice address
218 S RHODE ISLAND AVE, HASTINGS, NE 68901-6346
(308) 383-5605
Mailing address
218 S RHODE ISLAND AVE, HASTINGS, NE 68901-6346
(308) 383-5605
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1347
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1231
NE
101YM0800X
Mental Health Counselor
13089
NE
Other
Enumeration date
12/22/2016
Last updated
08/15/2022
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