Organization
JOANNE BERTHELSEN LCSW LLC
Active
Other names
Joanne Berthelsen LCSW LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE BERTHELSEN MSW, LCSW (OWNER/PROVIDER)
(262) 235-2350
Entity
Organization
Contact information
Practice address
830 ARMOUR RD STE 2, OCONOMOWOC, WI 53066-3959
(262) 235-2350
(235) 804-8132
Mailing address
830 ARMOUR RD STE 2, OCONOMOWOC, WI 53066-3959
(262) 235-2350
(235) 804-8132
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100071305
—
WI
Enumeration date
04/06/2020
Last updated
04/06/2020
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