Individual
MS. HEIDI ECKROTH NUNNEMACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
830 ARMOUR RD STE 3, OCONOMOWOC, WI 53066-3959
(262) 283-0994
Mailing address
830 ARMOUR RD STE 3, OCONOMOWOC, WI 53066-3959
(262) 283-0994
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15425-132
WI
1041C0700X
Clinical Social Worker
Primary
8026-123
WI
Other
Enumeration date
03/02/2010
Last updated
09/19/2024
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