Individual provider · Type 1 NPI

Eilis Petzke

Mental Health Counselor · Green Bay, WI

NPI number 1740165794 Active

Practice location

123 N Oakland Ave
Green Bay, WI 54303-2831

Call (920) 770-4088 Map

Fax (651) 705-0026

Mailing address

2240 Early St
Green Bay, WI 54304-4843

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X9085226 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1740165794

Eilis Petzke's National Provider Identifier is 1740165794, issued on Aug 8, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Green Bay, WI. The record was last updated on Jul 7, 2026.