| NPI | 1134220445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE Y DICKINSON Owner 715-345-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 928-125) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 949-057) |
| 1041C0700X Social Worker, Clinical (Licence: WI 7281-123) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 2121-123) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |