Individual
CARLY N MAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
630 S 36TH AVE, WAUSAU, WI 54401-3930
(715) 842-9500
Mailing address
630 S 36TH AVE, WAUSAU, WI 54401-3930
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19153
WI
101YP2500X
Professional Counselor
Primary
10226-125
WI
101YP2500X
Professional Counselor
4662
WI
Other
Enumeration date
02/22/2021
Last updated
03/31/2023
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