person
Brock Davis Vern Schultz, LPC-IT
Professional Counselor in Monona, Wisconsin
NPI 1902552417

Brock Davis Vern Schultz is a Professional Counselor based in Monona, WI and is specialized in Professional. Brock Davis Vern Schultz practices in Monona, WI and has the professional credentials of LPC-IT. The NPI Number for Brock Davis Vern Schultz is 1902552417 and holds a License No. 3887-226 (Wisconsin).

The current practice location address for Brock Davis Vern Schultz is 1955 W Broadway Ste 104, Monona, WI and can be reached out via phone at 608-395-1795.

Location: 1955 W Broadway Ste 104, Monona, WI, 53713-3700
person
Provider Profile Details
NPI Number
1902552417
Provider Name
Brock Davis Vern Schultz
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Male
Address
1955 W Broadway Ste 104, Monona, WI, 53713-3700
Phone Number
608-395-1795
Fax Number
Provider Enumeration Date
02/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1955 W Broadway Ste 104
City
State
Zip
53713-3700
Phone Number
608-395-1795
Fax Number
person
Provider Business Mailing Address Details
Address
1955 W Broadway Ste 104
City
State
Zip
53713-3700
Phone Number
608-395-1795
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3887-226 (Wisconsin)
Definition
Definition to come...
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