Male or Other

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

Provider Address