Organization
PEACE IN COLORFUL DYNAMICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA J HANSON LPC (OWNER/PROVIDER)
(920) 659-0078
Entity
Organization
Contact information
Practice address
516 E WISCONSIN AVE, APPLETON, WI 54911-4863
(920) 659-0078
(920) 843-9395
Mailing address
516 E WISCONSIN AVE, APPLETON, WI 54911-4863
(920) 659-0078
(920) 779-3146
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100040516
—
WI
Enumeration date
09/08/2020
Last updated
10/03/2023
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