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Individual

DARRYL L CHRISTIANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS LCSW

Contact information

Practice address
221 W MADISON ST, EAU CLAIRE, WI 54703
(715) 832-5454
(715) 832-2991
Mailing address
221 W MADISON ST, OMNE CLINIC INC, EAU CLAIRE, WI 54703
(715) 832-5454
(715) 832-2991

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3684
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111741
SECURITY HEALTH PLAN
WI
05
39238400
WI
01
HP69916
HEALTH PARTNERS
MN
Enumeration date
11/13/2006
Last updated
07/08/2007
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