person
Brenda Jane Ertl, LPC
Professional Counselor in Wisconsin Rapids, Wisconsin
NPI 1598386583

Brenda Jane Ertl is a Professional Counselor based in Plover, WI and is specialized in Professional. Brenda Jane Ertl practices in Wisconsin Rapids, WI and has the professional credentials of LPC. The NPI Number for Brenda Jane Ertl is 1598386583 and holds a License No. 101356-125 (Wisconsin).

The current practice location address for Brenda Jane Ertl is 420 3Rd St S, Wisconsin Rapids, WI and can be reached out via phone at 715-712-1370.

Location: 420 3Rd St S, Wisconsin Rapids, WI, 54467-0633
person
Provider Profile Details
NPI Number
1598386583
Provider Name
Brenda Jane Ertl
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
420 3Rd St S, Wisconsin Rapids, WI, 54467-0633
Phone Number
715-712-1370
Fax Number
Provider Enumeration Date
04/30/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100101179 05 WI
institution
Provider Business Practice Location Address Details
Address
420 3Rd St S
City
State
Zip
54494-4350
Phone Number
715-712-1370
Fax Number
person
Provider Business Mailing Address Details
Address
420 3Rd St S
City
State
Zip
54494-4350
Phone Number
715-712-1370
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
101356-125 (Wisconsin)
Definition
Definition to come...
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