Provider Demographics
NPI:1629206677
Name:HINTZ, GRETCHEN KAY (MSE, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:KAY
Last Name:HINTZ
Suffix:
Gender:F
Credentials:MSE, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1466 WATER ST
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481-2919
Mailing Address - Country:US
Mailing Address - Phone:715-341-6672
Mailing Address - Fax:
Practice Address - Street 1:1466 WATER ST
Practice Address - Street 2:
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481-2919
Practice Address - Country:US
Practice Address - Phone:715-341-6672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-29
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4184-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional