Individual
DONNA L GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCPC
Contact information
Practice address
1701 W ALLEN ST, RICE LAKE, WI 54868-1872
(715) 642-1961
Mailing address
1311 S MAIN ST # 183, RICE LAKE, WI 54868-2828
(715) 642-1961
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3160-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487962981
—
WI
01
—
3160-125
STATE OF WISCONSIN
WI
Enumeration date
09/17/2010
Last updated
12/19/2019
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