Individual
HOLLY SUE HAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
200 N RURAL ST, CHIPPEWA FALLS, WI 54729-2614
(715) 861-3045
Mailing address
406 TECHNOLOGY DR E, MENOMONIE, WI 54751-2767
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3252
WI
101YM0800X
Mental Health Counselor
Primary
6981-125
WI
Other
Enumeration date
09/06/2017
Last updated
03/29/2021
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