institution
Center For Life & Loss Integration
Mental Health Counselor in Monona, Wisconsin
NPI 1073780961

Center For Life & Loss Integration is a Mental Health Counselor based in Monona, WI and is specialized in Mental Health. Center For Life & Loss Integration practices in Monona, WI. The NPI Number for Center For Life & Loss Integration is 1073780961 and holds a License No. 1842123 (Wisconsin).

The current practice location address for Center For Life & Loss Integration is 4123 Monona Dr, Monona, WI and can be reached out via phone at 608-258-7771 and via fax at 608-832-6486.

Location: 4123 Monona Dr, Monona, WI, 53716-1661
institution
Provider Profile Details
NPI Number
1073780961
Provider Name
Center For Life & Loss Integration
Credential
Provider Entity Type
Organization
Address
4123 Monona Dr, Monona, WI, 53716-1661
Phone Number
608-258-7771
Fax Number
608-832-6486
Provider Enumeration Date
05/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42245700 05 WI
institution
Provider Business Practice Location Address Details
Address
4123 Monona Dr
City
State
Zip
53716-1661
Phone Number
608-258-7771
Fax Number
608-832-6486
person
Provider Business Mailing Address Details
Address
4123 Monona Dr
City
State
Zip
53716-1661
Phone Number
608-258-7771
Fax Number
608-832-6486
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1842123 (Wisconsin)
Definition
Definition to come...
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