Price-Decker, Theresa Jean

Price-Decker, Theresa Jean is an sole proprietor health care provider with primary practice located at 21B S Brown St , Rhinelander WI 54501-3450. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Price-Decker, Theresa Jean can be contacted via phone (715) 362-5437.

Contact Information

Primary practice address
21B S Brown St Rhinelander WI 54501-3450
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2124-123 Wisconsin

Profile Details

NPI number 1851485528
LBN Legal business name Price-Decker, Theresa Jean
Credentials MS, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851485528 NPPES
Wisconsin Other 1029-125 LPC LICENSE NUMBER
Wisconsin MEDICAID 39283400 LPC LICENSE NUMBER
Wisconsin Other 2124-123 LPC LICENSE NUMBER

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