Anhalt, Amanda Marie

Anhalt, Amanda Marie is an individual health care provider with primary practice located at 1011 N 8Th St , Sheboygan WI 53081-4006. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Anhalt, Amanda Marie can be contacted via phone (920) 459-3173.

Contact Information

Primary practice address
1011 N 8Th St Sheboygan WI 53081-4006
Phone: (920) 459-3173
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16200-132 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8860-123 Wisconsin

Profile Details

NPI number 1447758693
LBN Legal business name Anhalt, Amanda Marie
Credentials LCSW, CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2018
Last updated Jan 23rd, 2018 - about 6 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 1447758693 NPPES
Wisconsin Other 16200-132 CLINICAL SUBSTANCE ABUSE COUNSELOR
Wisconsin Other 8860-123 CLINICAL SUBSTANCE ABUSE COUNSELOR

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