Unmasked Expressive Therapies
NPI #1407349657 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1407349657
- Entity Type
- Organization
- Organization Name
- Unmasked Expressive Therapies
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 12, 2018
- Last Updated
- Nov 5, 2024
Practice Location
- Address
- 207 N SPRING ST
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-2115
- Phone
- (920) 219-9448
Authorized Official
- Name
- TAMI JOE DELISLE, ATR-BC, LPC
- Title
- EXECUTIVE DIRECTOR
- Phone
- (920) 382-0445
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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