Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA MARIE FASSBENDER
Active Sole ProprietorMIRANDA MARIE FASSBENDER is a Professional Counselor healthcare provider located in AMERY, Wisconsin. NPI 1356681308 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · AMERY, WI
Registration Details
- NPI Number
- 1356681308
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 27, 2013 (13.435545978991 yrs)
- Last Updated
- Feb 11, 2019
- Licenses
-
1887 (MN)5640.125 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
230 DERONDA STAMERY, WI, 540011412Browse WI providers · Browse ZIP 54001
- Phone
- 7152688000
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in AMERY, WI
| Name | Credential | NPI |
|---|---|---|
| JEFFREY COLEMAN LUND | — | 1518529981 |
| KATELYN ZACHRISON | LPC | 1487323093 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.