person
Hannah Domasky, LPC-IT
Student in an Organized Health Care Education/Training Program in Waupun, Wisconsin
NPI 1447824982

Hannah Domasky is a Student in an Organized Health Care Education/Training Program based in Waupun, WI. Hannah Domasky practices in Waupun, WI and has the professional credentials of LPC-IT. The NPI Number for Hannah Domasky is 1447824982 and holds a License No. (Wisconsin).

The current practice location address for Hannah Domasky is 620 W Brown St, Waupun, WI and can be reached out via phone at 920-324-5581.

Location: 620 W Brown St, Waupun, WI, 53963-1702
person
Provider Profile Details
NPI Number
1447824982
Provider Name
Hannah Domasky
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Female
Address
620 W Brown St, Waupun, WI, 53963-1702
Phone Number
920-324-5581
Fax Number
Provider Enumeration Date
05/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
620 W Brown St
City
State
Zip
53963-1702
Phone Number
920-324-5581
Fax Number
person
Provider Business Mailing Address Details
Address
620 W Brown St
City
State
Zip
53963-1702
Phone Number
920-324-5581
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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