Individual
AMY JEAN DAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMHC
Contact information
Practice address
S6202 COUNTY ROAD PF, NORTH FREEDOM, WI 53951-9643
(608) 291-4066
Mailing address
PO BOX 104, NORTH FREEDOM, WI 53951-0104
(608) 432-5627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
138842
IA
101YM0800X
Mental Health Counselor
2025007601
MO
101YM0800X
Mental Health Counselor
6401225026
MI
101YM0800X
Mental Health Counselor
Primary
8720-125
WI
101YM0800X
Mental Health Counselor
E.2607232
OH
101YP2500X
Professional Counselor
2025007601
MO
101YP2500X
Professional Counselor
6401225026
MI
Other
Enumeration date
09/19/2022
Last updated
06/15/2026
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