Individual
ANNA ADESSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 N LYNNDALE DR STE 2D, APPLETON, WI 54914-3091
(920) 944-8118
Mailing address
1124 SILVER BIRCH DR, MENASHA, WI 54952-3519
(920) 650-0725
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4487-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S126281
—
WI
Enumeration date
10/07/2019
Last updated
01/07/2020
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