Individual
AMY JEAN DAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
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
2025007601
MO
101YM0800X
Mental Health Counselor
6401225026
MI
101YM0800X
Mental Health Counselor
Primary
8720-125
WI
101YP2500X
Professional Counselor
2025007601
MO
101YP2500X
Professional Counselor
6401225026
MI
Other
Enumeration date
09/19/2022
Last updated
05/04/2026
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