Individual
TIFFANY VERHASSELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QTT
Contact information
Practice address
1508 NEW PINERY RD, PORTAGE, WI 53901
(608) 745-4900
Mailing address
1508 NEW PINERY RD, PORTAGE, WI 53901-1312
(608) 745-4900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/21/2016
Last updated
07/13/2018
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