Individual
JULIE A FEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE, LPC
Contact information
Practice address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-2300
(920) 720-3719
Mailing address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-3700
(920) 720-3806
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3681125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43599200
—
WI
Enumeration date
09/20/2006
Last updated
05/11/2011
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