Individual
AMY DES FORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
3703 OAKWOOD HILLS PKWY STE 100, EAU CLAIRE, WI 54701-4458
(534) 444-4562
(534) 444-4563
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(612) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6583-125
WI
Other
Enumeration date
11/18/2017
Last updated
03/25/2024
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