| Kelly Ann Maas, MSE, LPC, SAS | |
|
1415 East Green Bay St.,, Ste 191 Synergy Counseling Services, Sc, Shawano,, WI 54166-3881 | |
| (715) 526-5466 | |
| (715) 526-5545 |
| Full Name | Kelly Ann Maas |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1415 East Green Bay St.,, Shawano,, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992886162 | NPI | - | NPPES |
| 11681743 | Other | CAQH | |
| 40998400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 13230130 (Wisconsin) | Secondary |
| 101Y00000X | Counselor | 3243125 (Wisconsin) | Secondary |
| 101Y00000X | Counselor | 3243-125 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Ann Maas, MSE, LPC, SAS 1415 East Green Bay St.,, Ste 191 Synergy Counseling Services, Sc, Shawano,, WI 54166-3881 Ph: (715) 526-5466 | Kelly Ann Maas, MSE, LPC, SAS 1415 East Green Bay St.,, Ste 191 Synergy Counseling Services, Sc, Shawano,, WI 54166-3881 Ph: (715) 526-5466 |