Individual
KELLY ANN MAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE, LPC, SAS
Contact information
Practice address
1415 EAST GREEN BAY ST.,, STE 191 SYNERGY COUNSELING SERVICES, SC, SHAWANO,, WI 54166-3881
(715) 526-5466
(715) 526-5545
Mailing address
1415 EAST GREEN BAY ST.,, STE 191 SYNERGY COUNSELING SERVICES, SC, SHAWANO,, WI 54166-3881
(715) 526-5466
(715) 526-5545
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
13230130
WI
101Y00000X
Counselor
Primary
3243-125
WI
101Y00000X
Counselor
3243125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11681743
CAQH
—
05
—
40998400
—
WI
Enumeration date
10/17/2006
Last updated
09/04/2009
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