Individual
AMANDA SASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-3105
Mailing address
6759 NORTHWAY APT 3, GREENDALE, WI 53129-1834
(414) 322-6309
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8275-125
WI
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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