Hansen, Christine M
Hansen, Christine M is an individual health care provider with primary practice located at 333 N Green Bay Rd , Neenah WI 54956-1954. She recently has 3 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 / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Hansen, Christine M can be contacted via phone (920) 720-2300.Contact Information
Primary practice address
333 N Green Bay Rd
Neenah WI 54956-1954
Phone: (920) 720-2300
Fax: (920) 720-3719
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 12499 | Wisconsin |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 915 | Wisconsin |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1805-123 | Wisconsin |
Profile Details
NPI number | 1104930940 |
---|---|
LBN Legal business name | Hansen, Christine M |
Credentials | MS LCSW SAC LPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 18th, 2006 |
Last updated | Aug 4th, 2022 - about 2 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104930940 | NPPES |
Wisconsin | MEDICAID | 39640300 |
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