Individual
TAMI JOE DELISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ATR-BC
Contact information
Practice address
207 NORTH SPRING STREET, BEAVER DAM, WI 53916
(920) 382-0445
Mailing address
209 S UNIVERSITY AVE STE 1, BEAVER DAM, WI 53916-2464
(920) 382-0445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6745-125
WI
Other
Enumeration date
08/12/2015
Last updated
11/05/2024
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