William Dingess

Individual provider Active NPI Professional Counselor · Merrill, WI

NPI 1992841340 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992841340
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
638-125 (WI)
Practice address
607 N Sales St
Merrill, WI 54452-1624
Phone
(715) 536-9482
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
638-125WIMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 638-125 WI Yes

Addresses

Primary practice location

607 N Sales St
Merrill, WI 54452-1624

Mailing address

1100 Lake View Dr
Wausau, WI 54403-6785
Phone (715) 848-4600

Other identifiers

IdentifierTypeStateIssuer
43559500MedicaidWI

Other providers in Merrill, WI

All providers in Merrill, WI · Professional Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.