Individual
MICHAEL SHERMAN FENTRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2711 HUMBOLDT RD APT 2, GREEN BAY, WI 54311-8463
(352) 702-2144
Mailing address
2711 HUMBOLDT RD APT 2, GREEN BAY, WI 54311-8463
(352) 702-2144
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/24/2016
Last updated
03/27/2017
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