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Individual

MRS. AMY MARIE FIFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC SASA

Contact information

Practice address
1800 FREEDOM RD STE A, LITTLE CHUTE, WI 54140-3200
(920) 460-9009
Mailing address
1800 FREEDOM RD STE A, LITTLE CHUTE, WI 54140-3200
(920) 460-9009

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15529-130
WI
101YM0800X
Mental Health Counselor
265-226
WI
101YP2500X
Professional Counselor
Primary
4299-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100007727
WI
01
1427297183
NPI
WI
Enumeration date
02/19/2009
Last updated
03/06/2025
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