Miranda Marie Fassbender
Miranda Marie Fassbender is a Mental Health Counselor in Amery, Wisconsin. Qualified in 2012, 14 years ago. Practices with Ladd Memorial Hospital, a 71-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.
- Years since qualifying
- 14
- Licensed in
- MN, WI
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
230 Deronda StAmery, WI 54001-1412
Phone: (715) 268-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 5640.125 (WI) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence 1887 (MN) |
Record details
| NPI number | 1356681308 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 27, 2013 |
| Last updated in NPPES | February 11, 2019 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Ladd Memorial Hospital — 71 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Amery
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Katelyn Zachrison, LPC
230 Deronda St, Amery, WI 54001-1412 · (715) 268-8000