BLAKE WACHHOLZ

MADISON, WI
NPI1215863451
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WI  9059-226)
Enumeration Date2026-06-23
Last Update Date2026-06-23
Business Address
BLAKE WACHHOLZ LPC-IT
49 KESSEL CT
MADISON, WI 53711-6200
Phone number: 608-280-2700
Mailing Address
BLAKE WACHHOLZ LPC-IT
25 KESSEL CT STE 105
MADISON, WI 53711-6227
Phone number: 608-280-2700
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