Individual
BYRON HINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, SAC
Contact information
Practice address
1225 LANGLADE ROAD, ANITGO, WI 54409
(715) 623-2394
(715) 627-4194
Mailing address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11735-131
WI
1041C0700X
Clinical Social Worker
Primary
4239-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11735-131
STATE LICENSE
WI
01
—
4239-123
STATE LICENSE
WI
Enumeration date
10/03/2006
Last updated
04/15/2013
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