Individual
CHANTELLE PANSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
N2150 KESAEHKAHTEK RD, GRESHAM, WI 54128-9602
(715) 799-3835
Mailing address
N2150 KESAEHKAHTEK RD, GRESHAM, WI 54128-9602
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7711-226
WI
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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