Individual
ANDREA LEE BEHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW, SAC-IT
Contact information
Practice address
230 PARK ST, WAUTOMA, WI 54982-9031
(920) 787-6550
(920) 787-0421
Mailing address
PO BOX 1230, WAUTOMA, WI 54982-1230
(920) 787-6600
(920) 787-0465
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17649-130
WI
104100000X
Social Worker
Primary
127964-121
WI
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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