Individual
MR. STANLEY KENNETH NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
5900 MONONA DR STE 100, 5900 MONONA DR., SUITE 100, MONONA, WI 53716-3556
(608) 663-0763
(608) 663-0765
Mailing address
5900 MONONA DRIVE, SUITE 100-SAMARITAN CONSELING CENTER, 5900 MONONA DR., SUITE 100, MONONA, WI 53716-3556
(608) 663-0763
(608) 663-0765
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
150-123
WI
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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