Individual
MRS. AMANDA ROSE DRAXLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
196 3RD ST, FOND DU LAC, WI 54935-4418
(920) 921-3343
(920) 921-0989
Mailing address
196 3RD ST, FOND DU LAC, WI 54935-4418
(920) 921-3343
(920) 921-0989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2435-226
WI
Other
Enumeration date
02/23/2015
Last updated
11/17/2020
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