JACOB STEVEN HANISH

SOUTH SIOUX CITY, NE
NPI1861744930
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: NE  523)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2012-10-12
Last Update Date2026-05-12
Business Address
JACOB STEVEN HANISH
1201 ARBOR DR
SOUTH SIOUX CITY, NE 68776-2421
Phone number: 402-494-3337
Mailing Address
JACOB STEVEN HANISH
PO BOX 355
SOUTH SIOUX CITY, NE 68776-0355
Phone number: 402-494-3337
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