Individual
CODY SCOTT DEXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS MFT
Contact information
Practice address
108 CHIEFTAIN ST, OSCEOLA, WI 54020-0817
(715) 417-3241
Mailing address
108 CHIEFTAIN ST, STE B, OSCEOLA, WI 54020
(715) 417-3241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
638-228
WI
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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