Individual provider · Type 1 NPI

James K. Dercks, LPC

Professional Counselor · Menasha, WI

NPI number 1134586779 Active

Practice location

1810 Appleton Rd
Menasha, WI 54952-1110

Fax (920) 739-7639

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6749 (WI)

Professional Counselor: Definition to come...

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About NPI 1134586779

James K. Dercks, LPC's National Provider Identifier is 1134586779, issued on Jan 27, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Menasha, WI. The record was last updated on Dec 12, 2017.