Individual
PABLO E SERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 S WALNUT ST, APPLETON, WI 54911-5920
(920) 832-4741
(920) 832-2185
Mailing address
410 S WALNUT ST, APPLETON, WI 54911-5920
(920) 832-4741
(920) 832-2185
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3111-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39789400
—
WI
Enumeration date
01/09/2008
Last updated
01/09/2008
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