| NPI | 1033440227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN L ALLEMAGNE Owner 608-325-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: WI 761124) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: IL 166000551) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2012-08-07 |