Individual
ANNE PATRICIA DESELLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 W BROWN DEER RD STE 200, BROWN DEER, WI 53209-1220
(414) 540-2170
Mailing address
4237 N WOODBURN ST, SHOREWOOD, WI 53211-1504
(414) 308-3868
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18157-130
WI
101YP2500X
Professional Counselor
Primary
4029-226
WI
Other
Enumeration date
04/23/2018
Last updated
03/06/2019
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