Provider Demographics
NPI:1912204884
Name:CLAUSEN, CURT EDWARD (MS)
Entity Type:Individual
Prefix:MR
First Name:CURT
Middle Name:EDWARD
Last Name:CLAUSEN
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 1/2 N 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-2963
Mailing Address - Country:US
Mailing Address - Phone:715-390-3190
Mailing Address - Fax:
Practice Address - Street 1:707 1/2 N 2ND AVE
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-2963
Practice Address - Country:US
Practice Address - Phone:715-390-3190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-11
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4489-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional