MEDICARE: DANA HAUSER MS LPC-IT

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
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1922807593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA HAUSER MS LPC-IT

Provider Business Mailing Address
First Line	:	304 SHERVIN DR
Second Line	:
City	:	BURLINGTON
State	:	WI
Zip	:	53105-9628
Country	:	US
Telephone Number	:	262-327-1806
Fax Number	:

Provider Business Practice Location Address
First Line	:	4305 OLD GREEN BAY RD
Second Line	:
City	:	MOUNT PLEASANT
State	:	WI
Zip	:	53403-9425
Country	:	US
Telephone Number	:	262-914-4481
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2025
Last Update Date	:	03/12/2025

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