Individual
TERESA M THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 3RD ST, MENASHA, WI 54952-2713
(920) 252-6076
Mailing address
308 3RD ST, MENASHA, WI 54952-2713
(920) 252-6076
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
7768-125
WI
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/08/2017
Last updated
06/26/2023
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