Individual provider · Type 1 NPI

Scott Theisen, M.A., L.M.H.C.

Mental Health Counselor · Dubuque, IA

NPI number 1366649428 Active

Practice location

2728 Asbury Rd, Suite 777
Dubuque, IA 52001-2971

Fax (563) 557-5030

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X00075 (IA)

Mental Health Counselor: Definition to come...

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About NPI 1366649428

Scott Theisen, M.A., L.M.H.C.'s National Provider Identifier is 1366649428, issued on Jun 29, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dubuque, IA. The record was last updated on Jul 8, 2007.