DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: HEATHER MARIE NOVAK CSAC, LPC, ICS

MEDICARE: HEATHER MARIE NOVAK CSAC, LPC, ICS
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
1101YA0400XAddiction (Substance Use Disorder) Counselor1764-130WI
2101YM0800XMental Health Counselor5139-125WI
3101YP2500XProfessional Counselor5139-125WI

General Provider Information

NPI Number : 1649671421
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER MARIE NOVAK CSAC, LPC, ICS
Provider Business Mailing Address
First Line : 1825 RIVERSIDE DR
Second Line :
City : GREEN BAY
State : WI
Zip : 54301-2316
Country : US
Telephone Number : 920-272-8234
Fax Number : 651-323-2648
Provider Business Practice Location Address
First Line : 1825 RIVERSIDE DR
Second Line :
City : GREEN BAY
State : WI
Zip : 54301-2316
Country : US
Telephone Number : 920-272-8234
Fax Number : 651-323-2648
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2014
Last Update Date : 03/19/2024

Similar Medicare Providers

1780767848 — JUDY MARIE ROEMER L.P.C.
Practice Location Address:
1825 RIVERSIDE DR
GREEN BAY, WI
54301-2316
Practice Phone: 920-272-8234
Practice Fax: 920-437-4067
1588747810 — JEAN ANNE SWEETLAND MSW
Practice Location Address:
1825 RIVERSIDE DR
GREEN BAY, WI
54301-2316
Practice Phone: 920-437-7531
Practice Fax: 920-437-4067
1457671638 — MEGAN A KAYE LPC
Practice Location Address:
1825 RIVERSIDE DR
GREEN BAY, WI
54301-2316
Practice Phone: 920-272-8234
Practice Fax: 651-323-2648
1568776979 — MS. NANCY ANN FENNEMA MSSW
Practice Location Address:
1825 RIVERSIDE DR
GREEN BAY, WI
54301-2316
Practice Phone: 920-272-8234
Practice Fax: 920-437-4067
1811296973 — MR. FRANK H TELLER LCSW
Practice Location Address:
1825 RIVERSIDE DR , CATHOLIC CHARITIES
GREEN BAY, WI
54301-2316
Practice Phone: 920-272-8234
Practice Fax: 920-437-4067
1700469780 — AMY LYNN POLSTER LPC
Practice Location Address:
1825 RIVERSIDE DR
GREEN BAY, WI
54301-2316
Practice Phone: 920-272-8234
Practice Fax: 651-323-2648

Directions to “ HEATHER MARIE NOVAK CSAC, LPC, ICS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.