Provider Demographics
NPI:1083341457
Name:HUNDT-WILLIAMSON, BRITTANIE (APSW)
Entity Type:Individual
Prefix:
First Name:BRITTANIE
Middle Name:
Last Name:HUNDT-WILLIAMSON
Suffix:
Gender:F
Credentials:APSW
Other - Prefix:
Other - First Name:BRITTANIE
Other - Middle Name:
Other - Last Name:HUNDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:N5949 PARK DR
Mailing Address - Street 2:
Mailing Address - City:ONALASKA
Mailing Address - State:WI
Mailing Address - Zip Code:54650-9306
Mailing Address - Country:US
Mailing Address - Phone:608-797-7878
Mailing Address - Fax:
Practice Address - Street 1:115 5TH AVE S STE 507
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-4018
Practice Address - Country:US
Practice Address - Phone:608-797-5679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1328491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical