Individual
CLARISSA MAE GRATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
4650 W SPENCER ST, APPLETON, WI 54914-9106
(920) 903-1060
(920) 903-1060
Mailing address
4650 W SPENCER ST, APPLETON, WI 54914-9106
(920) 903-1060
(920) 903-1060
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
12/06/2024
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