Provider Demographics
NPI:1710221981
Name:FRENCH, DANA LEE (LMFT)
Entity Type:Individual
Prefix:MR
First Name:DANA
Middle Name:LEE
Last Name:FRENCH
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 BALSAM AVE
Mailing Address - Street 2:
Mailing Address - City:TOMAH
Mailing Address - State:WI
Mailing Address - Zip Code:54660-1270
Mailing Address - Country:US
Mailing Address - Phone:608-695-4125
Mailing Address - Fax:
Practice Address - Street 1:N6500 HAIPEK RD
Practice Address - Street 2:
Practice Address - City:BLACK RIVER FALLS
Practice Address - State:WI
Practice Address - Zip Code:54615-5404
Practice Address - Country:US
Practice Address - Phone:715-284-4550
Practice Address - Fax:715-284-7335
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-12
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI985-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist