Hanson, Samantha J

Hanson, Samantha J is an sole proprietor health care provider with primary practice located at 516 E Wisconsin Ave , Appleton WI 54911-4863. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Hanson, Samantha J can be contacted via phone (920) 659-0078.

Contact Information

Primary practice address
516 E Wisconsin Ave Appleton WI 54911-4863
Phone: (920) 659-0078
Fax: (920) 843-9395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 5895 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1427464221
LBN Legal business name Hanson, Samantha J
Credentials M.S., LPC, ATR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2014
Last updated May 31st, 2024 - about 7 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427464221 NPPES
Wisconsin MEDICAID 100040516

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