NPI 1316788375

Chantelle Panske, LPCIT

Practitioner Professional Counselor Gresham, WI

Practice location

Address: N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602
Phone: (715) 799-3835

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 7711-226 (WI)

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Registry record

NPI: 1316788375
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jun 2024
Record last updated: 4 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.