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Amanda Kaye Hietpas
Mental Health Counselor in Kimberly, Wisconsin
NPI 1669807855

Amanda Kaye Hietpas is a Mental Health Counselor based in Kimberly, WI and is specialized in Mental Health. Amanda Kaye Hietpas practices in Kimberly, WI. The NPI Number for Amanda Kaye Hietpas is 1669807855 and holds a License No. (Wisconsin).

The current practice location address for Amanda Kaye Hietpas is 1119 W Kennedy Ave, Kimberly, WI and can be reached out via phone at 920-470-0754.

Location: 1119 W Kennedy Ave, Kimberly, WI, 54136-2214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669807855
Provider Name
Amanda Kaye Hietpas
Credential
Provider Entity Type
Individual
Gender
Female
Address
1119 W Kennedy Ave, Kimberly, WI, 54136-2214
Phone Number
920-470-0754
Fax Number
Provider Enumeration Date
09/06/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1119 W Kennedy Ave
City
Kimberly
State
Wisconsin
Zip
54136-2214
Phone Number
920-470-0754
Fax Number
person
Provider Business Mailing Address Details
Address
1119 W Kennedy Ave
City
Kimberly
State
Wisconsin
Zip
54136-2214
Phone Number
920-470-0754
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
7638-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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