Individual
TAMMY MARIE MOTT-HOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
324 S ANDREWS ST, SHAWANO, WI 54166-2406
(715) 524-4840
Mailing address
W11251 SUNRISE RD, GRESHAM, WI 54128-9013
(715) 853-7651
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7895-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7895-125
STATE LPC LICENSE
WI
Enumeration date
04/05/2022
Last updated
04/05/2022
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