Individual
CASSIE M GRAVEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT, MSAT
Contact information
Practice address
501 DIVISION ST, WAUSAU, WI 54403-6206
(715) 301-0667
Mailing address
R5743 MERIDIAN RD, ATHENS, WI 54411-9317
(414) 578-7253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3311-226
WI
101YP2500X
Professional Counselor
3311
WI
Other
Enumeration date
10/19/2017
Last updated
06/29/2020
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