Provider Demographics
NPI:1083890784
Name:FRENCH, MARY (LPC)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:
Last Name:FRENCH
Suffix:
Gender:
Credentials:LPC
Other - Prefix:MS
Other - First Name:MARY
Other - Middle Name:FRENCH
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:706 MCHUGH RD APT 3
Mailing Address - Street 2:
Mailing Address - City:HOLMEN
Mailing Address - State:WI
Mailing Address - Zip Code:54636-5904
Mailing Address - Country:US
Mailing Address - Phone:651-515-0591
Mailing Address - Fax:
Practice Address - Street 1:706 MCHUGH RD APT 3
Practice Address - Street 2:
Practice Address - City:HOLMEN
Practice Address - State:WI
Practice Address - Zip Code:54636-5904
Practice Address - Country:US
Practice Address - Phone:651-515-0591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7863-125101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional