Individual
JOANNE M BERTHELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, SACIT
Contact information
Practice address
3011 WIND SONG LN, BAILEYS HARBOR, WI 54202-9164
(262) 235-2350
(262) 804-8132
Mailing address
3011 WIND SONG LN, BAILEYS HARBOR, WI 54202-9164
(262) 235-2350
(262) 804-8132
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18294-130
WI
101YM0800X
Mental Health Counselor
8705-123
WI
1041C0700X
Clinical Social Worker
6801112408
MI
1041C0700X
Clinical Social Worker
Primary
8705-123
WI
1041C0700X
Clinical Social Worker
SW18876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100071305
—
WI
Enumeration date
08/08/2017
Last updated
02/16/2023
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