person
Tanya M Amos, MS,LPC
Professional Counselor in Wautoma, Wisconsin
NPI 1265714455

Tanya M Amos is a Professional Counselor based in Wautoma, WI and is specialized in Professional. Tanya M Amos practices in Wautoma, WI and has the professional credentials of MS,LPC. The NPI Number for Tanya M Amos is 1265714455 and holds a License No. 4648-125 (Wisconsin).

The current practice location address for Tanya M Amos is 230 W Park Street, Wautoma, WI and can be reached out via phone at 920-787-6550 and via fax at 920-787-0421.

Location: 230 W Park Street, Wautoma, WI, 54982-1230
person
Provider Profile Details
NPI Number
1265714455
Provider Name
Tanya M Amos
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Female
Address
230 W Park Street, Wautoma, WI, 54982-1230
Phone Number
920-787-6550
Fax Number
920-787-0421
Provider Enumeration Date
09/13/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1265714455 05 WI
institution
Provider Business Practice Location Address Details
Address
230 W Park Street
City
State
Zip
54982-9031
Phone Number
920-787-6550
Fax Number
920-787-0421
person
Provider Business Mailing Address Details
Address
230 W Park Street
City
State
Zip
54982-9031
Phone Number
920-787-6550
Fax Number
920-787-0421
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4648-125 (Wisconsin)
Definition
Definition to come...
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