Individual
DANELLE MORTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 3RD AVE., SUITE 100, OSCEOLA, WI 54020
(715) 755-2233
(715) 755-3966
Mailing address
PO BOX 817, OSCEOLA, WI 54020-0817
(715) 755-2233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3560
WI
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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