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
Phone: (715) 362-5437
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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