Individual
MICHAELA GANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
201 MAIN ST STE 500, LA CROSSE, WI 54601-0716
(507) 516-0030
Mailing address
1900 SILVER LAKE RD NW, SAINT PAUL, MN 55112-1786
(608) 386-2104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/27/2021
Last updated
02/27/2021
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