Individual
MR. KENNETH DUANE TESSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SACIT
Contact information
Practice address
201 PRENTICE ST N, STEVENS POINT, WI 54481-1162
(715) 345-0711
(715) 345-0223
Mailing address
201 PRENTICE ST N, STEVENS POINT, WI 54481-1162
(715) 345-0711
(715) 345-0223
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14930-130
WI
Other
Enumeration date
05/08/2010
Last updated
05/08/2010
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