Individual provider · Type 1 NPI

Clarissa Detrie, MSW

Mental Health Counselor · Green Bay, WI

NPI number 1073759577 Active

Practice location

300 Crooks St
Green Bay, WI 54301-4527

Fax (920) 437-3540

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1073759577

Clarissa Detrie, MSW's National Provider Identifier is 1073759577, issued on Jan 5, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Green Bay, WI. The record was last updated on Dec 15, 2014.