| Doctor Name: | JUDY A HANNAFORD |
| NPI Number: | 1053475343 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CADC III |
| License Number: | 2166 |
| Business Practice Address: | 1510 Jefferson St Baraboo, WI - 53913 |
| Business Phone Number: | 6083561533 |
| Business Fax Number: | |
| Mailing Address: | 707 14th St, BARABOO |
| State: | WI |
| Postal Code: | 539131539 |
| Phone Number: | 6083561400 |
| Fax Number: | |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2166 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |