Provider Demographics
NPI:1649763186
Name:SCHNUCKER, HANNAH JOSEPHINE
Entity type:Individual
Prefix:MISS
First Name:HANNAH
Middle Name:JOSEPHINE
Last Name:SCHNUCKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6938 E SIERRA MORENA CIR
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-6805
Mailing Address - Country:US
Mailing Address - Phone:515-991-7536
Mailing Address - Fax:
Practice Address - Street 1:6938 E SIERRA MORENA CIR
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-6805
Practice Address - Country:US
Practice Address - Phone:515-991-7536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-10
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180014372101YP2500X
ILLPC-23253101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional