Individual
RHONDA HUHTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2631 PACKERLAND DR STE 104C, GREEN BAY, WI 54313-4130
(920) 965-7701
Mailing address
PO BOX 365, ONEIDA, WI 54155-0365
(920) 869-2711
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
88
WI
1041C0700X
Clinical Social Worker
Primary
7132-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39694700
—
WI
Enumeration date
10/27/2005
Last updated
03/31/2022
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