Mr. B. H. Dessel LCSW, CADC III
Full Name
Mr. B. Hal Dessel LCSW, CADC III
NPI Number
1033259676
NPI Type
Individual Provider
Gender
Male
Enumeration Date
02/06/2007
Specialties
(Taxonomies)Code
101YA0400X
101YM0800X
Primary Taxonomy
No
No
Licenses
State
Wisconsin
Wisconsin
License Number
1584-132
1773-123
Contact
Information
Purpose
Mailing
Location
Address
921 W GLENDALE AVE
921 W GLENDALE AVE
City
Glendale
Glendale
State
WI
WI
Postal Code
53209-6513
53209-6513
Country
US
US
Telephone Number
(414) 221-9293
(414) 221-9293
Identifiers
Identifier
39280200
Identifier State
WI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/09/2007