JACOB STEVEN HANISH

SOUTH SIOUX CITY, NE
NPI1861744930
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2012-10-12
Last Update Date2023-03-31
Business Address
JACOB STEVEN HANISH
1201 ARBOR DRIVE
SOUTH SIOUX CITY, NE 68776-2652
Phone number: 402-494-3337
Mailing Address
JACOB STEVEN HANISH
PO BOX 355
SOUTH SIOUX CITY, NE 68776-0355
Phone number: 402-494-3337