Dellise, Angela
Dellise, Angela is an individual health care provider with primary practice located at 6233 Durand Ave , Mount Pleasant WI 53406-4961. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dellise, Angela can be contacted via phone (262) 554-8165.Contact Information
Primary practice address
6233 Durand Ave
Mount Pleasant WI 53406-4961
Phone: (262) 554-8165
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 5385-125 | Wisconsin |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 16057-130 | Wisconsin |
Profile Details
| NPI number | 1164718151 |
|---|---|
| LBN Legal business name | Dellise, Angela |
| Credentials | LPC, CSAC, CS-IT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2011 |
| Last updated | Aug 26th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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