Individual provider · Type 1 NPI

Daelynn M. Phares, MS, LPC-IT

Mental Health Counselor · Portage, WI

NPI number 1689495095 Active

Practice location

2901 Hunters Trl
Portage, WI 53901-3403

Call (608) 742-5518 Map

Fax (608) 268-9780

Mailing address

PO Box 301
Portage, WI 53901-0301

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2438-226 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1689495095

Daelynn M. Phares, MS, LPC-IT's National Provider Identifier is 1689495095, issued on Oct 18, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portage, WI. The record was last updated on Oct 18, 2024.