Liechti, Marya B
Liechti, Marya B is an individual health care provider with primary practice located at 2733 S Ridge Rd , Green Bay WI 54304-5513. 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 / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Liechti, Marya B can be contacted via phone (920) 497-6200.Contact Information
Primary practice address
2733 S Ridge Rd
Green Bay WI 54304-5513
Phone: (920) 497-6200
Fax: (920) 497-3135
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 12090 | Wisconsin |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 839-125 | Wisconsin |
Profile Details
NPI number | 1801963202 |
---|---|
LBN Legal business name | Liechti, Marya B |
Credentials | MSE,LPC,NCC,MAC,CADC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 29th, 2006 |
Last updated | Jul 8th, 2007 - 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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