Haas, Heather Renee

Haas, Heather Renee is an individual health care provider with primary practice located at S2845 White Eagle Rd , Baraboo WI 53913-9064. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Haas, Heather Renee can be contacted via phone (608) 355-1240.

Contact Information

Primary practice address
S2845 White Eagle Rd Baraboo WI 53913-9064
Phone: (608) 355-1240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 743-124 Wisconsin

Profile Details

NPI number 1326171604
LBN Legal business name Haas, Heather Renee
Credentials M.S., LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 9th, 2007 - about 19 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 1326171604 NPPES
Wisconsin MEDICAID 43704800

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