Individual
THEODORE C CONACHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APSW
Contact information
Practice address
3704 WESTON AVE, WESTON, WI 54476-5242
(715) 298-6364
Mailing address
1320 PLEASANT DR APT 2, PLOVER, WI 54467-9109
(715) 498-1553
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
134036-121
WI
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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