Hannan, Kim

Hannan, Kim is an sole proprietor health care provider with primary practice located at 405 E Forest St , Oconomowoc WI 53066-3707. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Hannan, Kim can be contacted via phone (262) 269-1569.

Contact Information

Primary practice address
405 E Forest St Oconomowoc WI 53066-3707
Phone: (262) 269-1569
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 259-226 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 4450-125 Wisconsin

Profile Details

NPI number 1437469061
LBN Legal business name Hannan, Kim
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2010
Last updated Oct 6th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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