Pagel, Holly Rae

Pagel, Holly Rae is an individual health care provider with primary practice located at 1541 Annex Rd , Jefferson WI 53549-9803. 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. Pagel, Holly Rae can be contacted via phone (920) 674-8108.

Contact Information

Primary practice address
1541 Annex Rd Jefferson WI 53549-9803
Fax: (920) 674-8114
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 7624-123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7624-123 Wisconsin

Profile Details

NPI number 1245569524
LBN Legal business name Pagel, Holly Rae
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2009
Last updated Aug 20th, 2013 - about 12 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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