| NPI | 1124230230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMAR ZICK Owner Director 608-256-6570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 1444) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 1444) |
| 103TC0700X Psychologist, Clinical (Licence: WI 1444) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 1444) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |