Healthcare Provider Details

I. General information

NPI: 1609915123
Provider Name (Legal Business Name): PATRICIA ANN HESS MSE, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8618 HIGHWAY 51N
MINOCQUA WI
54548
US

IV. Provider business mailing address

81286 CREAMERY RD
BUTTERNUT WI
54514-8612
US

V. Phone/Fax

Practice location:
  • Phone: 715-356-6146
  • Fax: 715-358-9556
Mailing address:
  • Phone: 715-769-3924
  • Fax: 715-769-3924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3165-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: