Individual
MR. PAUL FRANCIS THEYEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CICSW
Contact information
Practice address
230 PARK ST, WAUTOMA, WI 54982-9031
(920) 787-6550
(920) 787-0421
Mailing address
230 PARK ST, PO BOX 1230, WAUTOMA, WI 54982-9031
(920) 787-6550
(920) 787-0421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1255
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39624100
—
WI
Enumeration date
09/20/2006
Last updated
09/10/2007
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