Hillesheim, Laura Jean

Hillesheim, Laura Jean is an individual health care provider with primary practice located at 1325 Angel'S Path , De Pere WI 54115-4050. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Hillesheim, Laura Jean can be contacted via phone (920) 338-2855.

Contact Information

Primary practice address
1325 Angel'S Path De Pere WI 54115-4050
Fax: (920) 338-9270
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2936 Wisconsin

Profile Details

NPI number 1144205410
LBN Legal business name Hillesheim, Laura Jean
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jan 23rd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144205410 NPPES
Wisconsin MEDICAID 39795000

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