MRS. Chandell Angelica Hintzke, MS, SAC, LPC

NPI #1396085759 in West Bend, Wisconsin

Provider Information

NPI Number: 1396085759
Entity Type: Individual
Name: MRS. Chandell Angelica Hintzke, MS, SAC, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MS, SAC, LPC
Enumeration Date: Feb 22, 2013
Last Updated: May 10, 2022

Practice Location

Address: 400 W RIVER DR
City: West Bend
State: Wisconsin
ZIP Code: 53090-1518
Phone: (262) 334-4340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X	Primary

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