Individual
MS. PEGGY SUZANNE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. ED., LPC
Contact information
Practice address
711 BLAKE ST, BLANCHARDVILLE, WI 53516-9756
(608) 558-5291
Mailing address
700 LILLY RD NE, OLYMPIA, WA 98506-5196
(360) 923-7000
(360) 923-7089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH61016892
WA
101YP2500X
Professional Counselor
4396125
WI
Other
Enumeration date
10/08/2010
Last updated
02/01/2024
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