Individual
AMY VANDENHEUVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CROOKS ST, GREEN BAY, WI 54301-4527
(920) 436-6800
(920) 437-3540
Mailing address
300 CROOKS ST, GREEN BAY, WI 54301-4527
(920) 436-6800
(920) 437-3540
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
665-226
WI
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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