| Unmasked Expressive Therapies | |
|
207 N Spring St Beaver Dam WI 53916-2115 | |
| (920) 219-9448 | |
| Not Available |
| Full Name | Unmasked Expressive Therapies |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 207 N Spring St, Beaver Dam, Wisconsin |
| Authorized Official Name and Position | Tami Joe Delisle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9203820445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unmasked Expressive Therapies 209 S University Ave Ste 1 Beaver Dam WI 53916-2464 Ph: (920) 219-9448 | Unmasked Expressive Therapies 207 N Spring St Beaver Dam WI 53916-2115 Ph: (920) 219-9448 |
| NPI Number | 1407349657 |
|---|---|
| Provider Enumeration Date | 06/12/2018 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407349657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6745-125 (Wisconsin) | Primary |
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