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NPI Code Detail

MEDICARE: KAREN LYNN HANSEN

MEDICARE: KAREN LYNN HANSEN
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 Counselor6043-125WI

General Provider Information

NPI Number : 1780022079
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN LYNN HANSEN
Provider Business Mailing Address
First Line : 9809 S FRANKLIN DR STE 302
Second Line :
City : FRANKLIN
State : WI
Zip : 53132-8885
Country : US
Telephone Number : 262-330-0096
Fax Number : 262-821-6180
Provider Business Practice Location Address
First Line : 9809 S FRANKLIN DR STE 302
Second Line :
City : FRANKLIN
State : WI
Zip : 53132-8885
Country : US
Telephone Number : 262-330-0096
Fax Number : 262-821-6180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2013
Last Update Date : 10/25/2024

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Directions to “ KAREN LYNN HANSEN ” Practice Location

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