Hannan, Kim
Hannan, Kim is an sole proprietor health care provider with primary practice located at 405 E Forest St , Oconomowoc WI 53066-3707. She recently has 2 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 / Professional is her primary health care specialty. Hannan, Kim can be contacted via phone (262) 269-1569.Contact Information
Primary practice address
405 E Forest St
Oconomowoc WI 53066-3707
Phone: (262) 269-1569
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 259-226 | Wisconsin |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4450-125 | Wisconsin |
Profile Details
| NPI number | 1437469061 |
|---|---|
| LBN Legal business name | Hannan, Kim |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2010 |
| Last updated | Oct 6th, 2023 - about 3 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.
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