Individual
MARK BERTELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
212 11TH ST S, LA CROSSE, WI 54601
(608) 785-0940
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1033
WI
106H00000X
Marriage & Family Therapist
2840
MN
Other
Enumeration date
02/27/2014
Last updated
11/16/2018
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