Provider Demographics
NPI:1306283403
Name:MEINERS, DARLENE M (LPC)
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:M
Last Name:MEINERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6780 KOPP RD
Mailing Address - Street 2:
Mailing Address - City:WAUNAKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53597-9397
Mailing Address - Country:US
Mailing Address - Phone:608-215-7767
Mailing Address - Fax:
Practice Address - Street 1:705 S BUCHANAN ST
Practice Address - Street 2:
Practice Address - City:PRAIRIE DU CHIEN
Practice Address - State:WI
Practice Address - Zip Code:53821-2344
Practice Address - Country:US
Practice Address - Phone:608-357-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-29
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5843-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional