Individual
MRS. SHEENA G MALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
401 ROOSEVELT DR, DRESSER, WI 54009-9065
(715) 494-0004
Mailing address
401 ROOSEVELT DR, DRESSER, WI 54009-9065
(715) 494-0004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
01728
MN
101YP2500X
Professional Counselor
Primary
5602125
WI
Other
Enumeration date
12/06/2012
Last updated
09/01/2020
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