Provider Demographics
NPI:1205512654
Name:HENSELER, CAMILLE (LPC, SACIT)
Entity type:Individual
Prefix:
First Name:CAMILLE
Middle Name:
Last Name:HENSELER
Suffix:
Gender:
Credentials:LPC, SACIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 N LYNNDALE DR STE C
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54914-3057
Mailing Address - Country:US
Mailing Address - Phone:920-735-9010
Mailing Address - Fax:
Practice Address - Street 1:1000 N LYNNDALE DR STE C
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-3057
Practice Address - Country:US
Practice Address - Phone:920-735-9010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-22
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI20305-130101YA0400X
WI11691-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)