Individual
EILIS PETZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 N OAKLAND AVE, GREEN BAY, WI 54303-2831
(920) 770-4088
(651) 705-0026
Mailing address
2240 EARLY ST, GREEN BAY, WI 54304-4843
(262) 993-3835
(651) 705-0026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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