Individual
MRS. CHANDELL ANGELICA HINTZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SAC, LPC
Contact information
Practice address
400 W RIVER DR, WEST BEND, WI 53090-1518
(262) 334-4340
(262) 334-4341
Mailing address
400 W RIVER DR, WEST BEND, WI 53090-1518
(262) 334-4340
(262) 334-4341
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5813-125
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
16313-130
WI
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/22/2013
Last updated
05/10/2022
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