institution
Blackbird Psychotherapy Llc
Professional Counselor in Janesville, Wisconsin
NPI 1467024877

Blackbird Psychotherapy Llc is a Professional Counselor based in Beloit, WI and is specialized in Professional. Blackbird Psychotherapy Llc practices in Janesville, WI. The NPI Number for Blackbird Psychotherapy Llc is 1467024877 and holds a License No. (Wisconsin).

The current practice location address for Blackbird Psychotherapy Llc is 115 N Jackson St Ste 100, Janesville, WI and can be reached out via phone at 608-631-0911.

Location: 115 N Jackson St Ste 100, Janesville, WI, 53511-9108
institution
Provider Profile Details
NPI Number
1467024877
Provider Name
Blackbird Psychotherapy Llc
Credential
Provider Entity Type
Organization
Address
115 N Jackson St Ste 100, Janesville, WI, 53511-9108
Phone Number
608-631-0911
Fax Number
Provider Enumeration Date
07/14/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1528430402 05 WI
institution
Provider Business Practice Location Address Details
Address
115 N Jackson St Ste 100
City
State
Zip
53548-2952
Phone Number
608-631-0911
Fax Number
person
Provider Business Mailing Address Details
Address
115 N Jackson St Ste 100
City
State
Zip
53548-2952
Phone Number
608-631-0911
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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