Chantelle Panske, LPC-IT
Individual provider Active NPI Professional Counselor · Gresham, WI
NPI 1316788375 · NPPES record last updated Jun 4, 2024
Key facts
- NPI
- 1316788375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 7711-226 (WI)
- Practice address
- N2150 Kesaehkahtek Rd
Gresham, WI 54128-9602 - Phone
- (715) 799-3835
- NPI assigned
- Jun 4, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7711-226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconto County Finance | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7711-226 | WI | Yes |
Addresses
Primary practice location
N2150 Kesaehkahtek Rd
Gresham, WI 54128-9602
Mailing address
N2150 Kesaehkahtek Rd
Gresham, WI 54128-9602
Other providers in Gresham, WI
- Annette Pauline Latender
- Jennifer Lidbury
- Maehnowesekiyah Wellness Center
- Jennifer Mavis
- Nanette Marie Pamonicutt
- Brandon Waupekenay
- Maureen White
- Bruce A Wilber Jr.
- Jennifer A Wilber
All providers in Gresham, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.