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Rickelle Audris Opgenorth
Counselor in Tomah, Wisconsin
NPI 1609416411

Rickelle Audris Opgenorth is a Counselor based in Tomah, WI. Rickelle Audris Opgenorth practices in Tomah, WI. The NPI Number for Rickelle Audris Opgenorth is 1609416411 and holds a License No. 4829-226 (Wisconsin).

The current practice location address for Rickelle Audris Opgenorth is 1216 Mark Ave, Tomah, WI and can be reached out via phone at 608-377-7487.

Location: 1216 Mark Ave, Tomah, WI, 54660-1199
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609416411
Provider Name
Rickelle Audris Opgenorth
Credential
Provider Entity Type
Individual
Gender
Female
Address
1216 Mark Ave, Tomah, WI, 54660-1199
Phone Number
608-377-7487
Fax Number
Provider Enumeration Date
01/09/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
473326066 05 WI
institution
Provider Business Practice Location Address Details
Address
1216 Mark Ave
City
Tomah
State
Wisconsin
Zip
54660-1199
Phone Number
608-377-7487
Fax Number
person
Provider Business Mailing Address Details
Address
1216 Mark Ave
City
Tomah
State
Wisconsin
Zip
54660-1199
Phone Number
608-377-7487
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
4829-26 (Wisconsin)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
(Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4829-226 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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