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Individual

VENESSA LEE FARN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,LPC-SASD,NCC,CTS

Contact information

Practice address
613 JEFFERSON ST, LAKE MILLS, WI 53551-1736
(920) 988-3372
(888) 972-4891
Mailing address
PO BOX 335, LAKE MILLS, WI 53551-0335
(306) 240-4570
(888) 972-4891

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
104100000X
Social Worker
Primary
4567-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1932499811
WI
Enumeration date
04/13/2011
Last updated
12/15/2023
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