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Madison Bear
Mental Health Counselor in Portage, Wisconsin
NPI 1417631896

Madison Bear is a Mental Health Counselor based in Pardeeville, WI and is specialized in Mental Health. Madison Bear practices in Portage, WI. The NPI Number for Madison Bear is 1417631896 and holds a License No. 7461-226 (Wisconsin).

The current practice location address for Madison Bear is 1508 New Pinery Rd, Portage, WI and can be reached out via phone at 608-745-4900.

Location: 1508 New Pinery Rd, Portage, WI, 53954-9588
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417631896
Provider Name
Madison Bear
Credential
Provider Entity Type
Individual
Gender
Female
Address
1508 New Pinery Rd, Portage, WI, 53954-9588
Phone Number
608-745-4900
Fax Number
Provider Enumeration Date
06/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1508 New Pinery Rd
City
Portage
State
Wisconsin
Zip
53901-1312
Phone Number
608-745-4900
Fax Number
person
Provider Business Mailing Address Details
Address
1508 New Pinery Rd
City
Portage
State
Wisconsin
Zip
53901-1312
Phone Number
608-745-4900
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
7461-226 (Wisconsin)
Definition
Definition to come...
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