Healthcare Provider Details

I. General information

NPI: 1013883826
Provider Name (Legal Business Name): CHIPPEWA VALLEY COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 MALL DR STE 7
EAU CLAIRE WI
54701-6835
US

IV. Provider business mailing address

7350 20TH AVE
EAU CLAIRE WI
54703-6888
US

V. Phone/Fax

Practice location:
  • Phone: 715-895-7115
  • Fax:
Mailing address:
  • Phone: 715-895-7115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. SHAUNA PUTZY
Title or Position: PSYCHOLOGIST/OWNER
Credential: PSYD,LPC
Phone: 715-895-7115