Individual
MAISIE MAE FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, SAC
Contact information
Practice address
199 COUNTY ROAD DF FL 3, JUNEAU, WI 53039-9512
(920) 386-4094
(920) 386-4564
Mailing address
N5014 NORTHVIEW RD, EDEN, WI 53019-1536
(920) 904-6247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17098-131
WI
101YP2500X
Professional Counselor
Primary
7877-125
WI
Other
Enumeration date
06/12/2018
Last updated
12/14/2023
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