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NPI Code Detail

MEDICARE: CARRIE WAMHOFF

MEDICARE: CARRIE WAMHOFF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor8109-226WI

General Provider Information

NPI Number : 1215880307
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE WAMHOFF
Provider Business Mailing Address
First Line : 121 LAKE AIRE DR
Second Line :
City : CHETEK
State : WI
Zip : 54728-9604
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 33 ANN ST
Second Line :
City : RICE LAKE
State : WI
Zip : 54868-2265
Country : US
Telephone Number : 715-736-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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Directions to “ CARRIE WAMHOFF ” Practice Location

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