Individual
HEATHER MARIE NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC, LPC, ICS
Contact information
Practice address
1825 RIVERSIDE DR, GREEN BAY, WI 54301-2316
(920) 272-8234
(651) 323-2648
Mailing address
1825 RIVERSIDE DR, GREEN BAY, WI 54301-2316
(920) 272-8234
(651) 323-2648
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1764-130
WI
101YM0800X
Mental Health Counselor
5139-125
WI
101YP2500X
Professional Counselor
Primary
5139-125
WI
Other
Enumeration date
09/11/2014
Last updated
03/19/2024
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