Individual
MS. AMYSUE HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2937 OMRO RD, OSHKOSH, WI 54904-8839
(920) 279-2108
Mailing address
2937 OMRO RD, OSHKOSH, WI 54904-8839
(920) 279-2108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7184-125
WI
101YP2500X
Professional Counselor
7184-125
WI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42139300WI
—
WI
Enumeration date
10/12/2011
Last updated
10/31/2022
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