Individual provider · Type 1 NPI
Amanda Roselle Fellerer, LPC-IT
Professional Counselor · Sheboygan, WI
NPI number
1639897812
Active
Practice location
1407 N 8th St Ste 202
Sheboygan, WI 53081-3400
Mailing address
808 Fairview Dr
Plymouth, WI 53073-1309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 4605-226 (WI) |
Professional Counselor: Definition to come...
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About NPI 1639897812
Amanda Roselle Fellerer, LPC-IT's National Provider Identifier is 1639897812, issued on Aug 15, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Sheboygan, WI. The record was last updated on Aug 15, 2022.