Individual
AMY LYNN HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
17 PARK PL STE 200, APPLETON, WI 54914-8232
(920) 212-1456
Mailing address
1810 APPLETON ROAD, MENASHA, WI 54952
(920) 739-4226
(920) 739-7639
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3520125
WI
101Y00000X
Counselor
6401007702
MI
101YP2500X
Professional Counselor
Primary
3520-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40991200
—
WI
Enumeration date
10/25/2006
Last updated
06/09/2026
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