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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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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