Individual
MICHAEL RONALD WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-IT
Contact information
Practice address
W6144 AEROTECH DR, APPLETON, WI 54914-7503
(920) 230-2065
Mailing address
706 S MATTHIAS ST, APPLETON, WI 54915-3529
(920) 730-9510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2852-226
WI
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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