| NPI | 1093424087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE HAGEDORN Licensed Professional Counselor 715-514-0493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2024-11-23 |