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NPI Code Detail

MEDICARE: HANNAH CARLSON

MEDICARE:   HANNAH  CARLSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1669301461
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH CARLSON
Provider Business Mailing Address
First Line : PO BOX 61
Second Line :
City : WILLIAMS BAY
State : WI
Zip : 53191-0061
Country : US
Telephone Number : 407-963-8294
Fax Number :
Provider Business Practice Location Address
First Line : 224 W JUDD ST
Second Line :
City : WOODSTOCK
State : IL
Zip : 60098-3199
Country : US
Telephone Number : 407-963-8294
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ HANNAH CARLSON ” Practice Location

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