Individual
AMANDA PECHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC, CSIT
Contact information
Practice address
2357 W MASON ST, GREEN BAY, WI 54303-4708
(920) 337-6740
Mailing address
2357 W MASON ST, GREEN BAY, WI 54303-4708
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18121130
WI
104100000X
Social Worker
132114121
WI
1041C0700X
Clinical Social Worker
Primary
10097-123
WI
Other
Enumeration date
03/24/2017
Last updated
05/05/2025
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