Individual
MICHAEL J DEMINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW MFT
Contact information
Practice address
2005 HIGHLAND AVE, EAU CLAIRE, WI 54701-4455
(715) 832-5454
(715) 832-2991
Mailing address
2005 HIGHLAND AVE, EAU CLAIRE, WI 54701-4455
(715) 832-5454
(715) 832-2991
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1172123
WI
101YP2500X
Professional Counselor
484124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39239500
—
WI
01
—
41B24DE
BCBS MN
MN
01
—
59425
SECURITY HEALTH PLAN
WI
01
—
6252023
UBH
MN
01
—
637871010608
PREFERRED ONE
MN
01
—
HP40451
HEALTH PARTNERS
MN
Enumeration date
04/28/2006
Last updated
05/22/2008
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