IndividualActive
Amanda Etlicher
NPI 1972846194 · Professional Counselor · Ripon, WI
Provider details
- NPI number
- 1972846194
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5860-125 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
14 Arcade Glen Rd
Ripon, WI 54971-2100
Phone: (920) 539-0225
Approximate (ZIP-level) locationGet directions
Mailing address
14 Arcade Glen Rd
Ripon, WI 54971-2100
Registry dates
- Enumerated
- 2013-04-05
- Last updated
- 2023-08-22
- Certified
- 2023-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.