Provider Demographics
NPI:1083858922
Name:DAHMEN, PATRICK J (LICENSED MARITAL AND)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:J
Last Name:DAHMEN
Suffix:
Gender:M
Credentials:LICENSED MARITAL AND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7326 CLOVER HILL DRIVE
Mailing Address - Street 2:PATRICK DAHMEN
Mailing Address - City:WAUNAKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53597
Mailing Address - Country:US
Mailing Address - Phone:608-212-5434
Mailing Address - Fax:
Practice Address - Street 1:1821 WALDEN OFFICE SQUARE
Practice Address - Street 2:GATEWAY EXECUTIVE PARK CENTER
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173
Practice Address - Country:US
Practice Address - Phone:847-812-0704
Practice Address - Fax:847-303-1121
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166000247106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist