Individual
LINDA HILLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE,NCC, LPC
Contact information
Practice address
1476 KENWOOD CTR, MENASHA, WI 54952-1134
(920) 720-8872
(920) 720-8873
Mailing address
1476 KENWOOD CTR, MENASHA, WI 54952-1134
(920) 720-8872
(920) 720-8873
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3329-125
WI
174400000X
Specialist
3329-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40962800
—
WI
Enumeration date
10/20/2006
Last updated
04/03/2013
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