Provider Demographics
NPI:1457373441
Name:PAMELA J. HENKEL D.B.A. HUDSON COUNSELING SERVICES
Entity Type:Organization
Organization Name:PAMELA J. HENKEL D.B.A. HUDSON COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MARRIAGE & FAMILY THERAPIS
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HENKEL
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:715-531-6760
Mailing Address - Street 1:PO BOX 644
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-0644
Mailing Address - Country:US
Mailing Address - Phone:715-531-6760
Mailing Address - Fax:715-531-6761
Practice Address - Street 1:401 STAGELINE RD
Practice Address - Street 2:SUITE 7
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-7897
Practice Address - Country:US
Practice Address - Phone:715-531-6760
Practice Address - Fax:715-531-6761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1066101YM0800X
WI616-124101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty