Individual
MELISSA NICHOLE GEURTSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N67W25376 BRECKENRIDGE CT, SUSSEX, WI 53089-1262
(262) 623-2049
Mailing address
N67W25376 BRECKENRIDGE CT, SUSSEX, WI 53089-1262
(262) 623-2049
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10948-125
WI
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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