Individual
MRS. JEZERAE M HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
240 MAPLE ST, WOODRUFF, WI 54568-9190
(715) 356-8000
Mailing address
240 MAPLE ST, WOODRUFF, WI 54568-9190
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20803-130
WI
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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