Metzler, Amanda J

Metzler, Amanda J is an sole proprietor health care provider with primary practice located at 3311 Packerland Dr Ste A , De Pere WI 54115-9539. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Metzler, Amanda J can be contacted via phone (920) 410-9373.

Contact Information

Primary practice address
3311 Packerland Dr Ste A De Pere WI 54115-9539
Fax: (920) 247-2276
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4983-125 Wisconsin

Profile Details

NPI number 1346582079
LBN Legal business name Metzler, Amanda J
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2013
Last updated Dec 21st, 2023 - about 3 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 1346582079 NPPES
Wisconsin MEDICAID 100028818

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