Individual provider · NPI-1

Amber Aussem

Counselor · Racine, WI

NPI number1164944492
StatusActive
Last updated in NPPESJul 7, 2017

Details

NPI
1164944492
Entity type
Individual (NPI-1)
Name
Amber Aussem
Sex
Female
Sole proprietor
No
Enumeration date
Jul 7, 2017
Last updated
Jul 7, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

420 7th Street
Racine, WI 53403

Phone 262-634-2391

Mailing address

33805 Yahnke Rd
Burlington, WI 53105-8735

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