Individual
DR. LANA M NASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6980 N PORT WASHINGTON RD, 202, GLENDALE, WI 53217-3900
(414) 351-7100
(414) 247-4082
Mailing address
6980 N PORT WASHINGTON RD, 202, GLENDALE, WI 53217-3900
(414) 351-7100
(414) 247-4082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3036
CO
101YM0800X
Mental Health Counselor
Primary
4165-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3036
LPC
CO
01
—
4165-125
LPC
WI
Enumeration date
10/06/2006
Last updated
07/28/2010
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