MRS. JOELLE M HESSE


Address: 630 Cherry St., Green Bay, WI 54301
Phone: 9204352093

MRS. JOELLE M HESSE (NPI# 1962816371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962816371
Entity Type Individual
Full Name MRS. JOELLE M HESSE
Other Name MS. JOELLE M DOMINGOS
Credential SAC
Practice Address 630 Cherry St.
Green Bay
WI 54301
Mailing Address 630 Cherry Street
Green Bay
WI 54301
Practice Telephone 9204352093
Practice Fax Number 9204352580
Mailing Telephone 9204352093
Mailing Fax Number 9204352580
Enumeration Date 2014-06-13
Last Update Date 2017-01-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
17029-130 WI Behavioral Health & Social Service Providers

Office Location

Street Address 630 CHERRY ST.
City GREEN BAY
State WI
Zip Code 54301

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1821522889 Wayne Borowitz Counselor 621 E Walnut St, Green Bay, WI 54301-4001 2017-04-17
1427421023 Katie Koebernik Counselor 424 S Monroe Ave Ste 201, Green Bay, WI 54301-4054 2015-11-04
1386041598 Andrea Bonnin Counselor 2979 Allied St Ste C, Green Bay, WI 54304-5567 2014-12-03
1649671421 Heather Marie Novak Counselor 2979 Allied St Unit C, Green Bay, WI 54304 2014-09-11
1790016467 Deborah J Hauser Counselor 3150 Gershwin, Green Bay, WI 54311-5859 2010-01-20
1336372259 Edwin A Chrisman Counselor 331 S Adams St, Green Bay, WI 54301-4515 2009-08-26
1457585614 Adam Miles Sturdevant Counselor 1049 Dousman St, Green Bay, WI 54303-3003 2009-05-04
1659538361 Regina E Cuellar-proctor Counselor 3150 Gershwin Dr, Green Bay, WI 54311-4328 2008-05-20
1134390602 Florence Annette Ninham Counselor 2460 W Point Rd, Green Bay, WI 54304-1443 2008-03-12
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Competitor

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City GREEN BAY
Zip Code 54301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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