Individual
SOPHIA MARIE HUETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, SAC
Contact information
Practice address
300 CROOKS ST, GREEN BAY, WI 54301-4527
(920) 436-6800
(920) 432-5966
Mailing address
PO BOX 22308, GREEN BAY, WI 54305-2308
(920) 436-6800
(920) 432-5966
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19004
WI
101YP2500X
Professional Counselor
4446
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316594021
—
WI
Enumeration date
08/19/2019
Last updated
01/30/2023
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