Johannes, Amy S
Johannes, Amy S is an individual health care provider with primary practice located at 1044 S Park Ave , Fond Du Lac WI 54935-8031. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Johannes, Amy S can be contacted via phone (920) 539-9427.Contact Information
Primary practice address
1044 S Park Ave
Fond Du Lac WI 54935-8031
Phone: (920) 539-9427
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 2137 | Wisconsin |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 38635 | Illinois |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 162616 | Ohio |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 4127 | Virginia |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2137 | Wisconsin |
Profile Details
NPI number | 1912917352 |
---|---|
LBN Legal business name | Johannes, Amy S |
Credentials | CSAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 8th, 2006 |
Last updated | Dec 28th, 2023 - about last year |
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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