Individual
JACOB STEVEN HANISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 ARBOR DR, SOUTH SIOUX CITY, NE 68776-2421
(402) 494-3337
(402) 494-3356
Mailing address
PO BOX 355, SOUTH SIOUX CITY, NE 68776-0355
(402) 494-3337
(402) 494-3356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
523
NE
Other
Enumeration date
10/12/2012
Last updated
05/12/2026
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