Individual
DEREK SCHATTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 75TH ST, KENOSHA, WI 53143-1544
(262) 909-6008
(262) 764-8048
Mailing address
6328 73RD ST APT 106, KENOSHA, WI 53142-3501
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7544-226
WI
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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