Individual
HEATHER RENEE HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LMFT
Contact information
Practice address
S2845 WHITE EAGLE RD, BARABOO, WI 53913-9064
(608) 355-1240
Mailing address
613 WASHINGTON ST, SAUK CITY, WI 53583-1445
(608) 698-1145
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
743-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43704800
—
WI
Enumeration date
03/14/2007
Last updated
07/09/2007
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