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Contact Information

RENEE BIRKHOLZ, LPC-IT, SAS
2901 HUNTERS TRL
PORTAGE, WI53901-3403
 Phone: 608-742-5518
 Fax: 608-742-4087
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for RENEE BIRKHOLZ · (Female)

NPI Number 1467826990
Status Active
Credentials LPC-IT, SAS
Entity Individual
Enumeration date 11/20/2015
Last updated 02/01/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2645-226
  • WI Medicaid 1467826990
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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