| NPI | 1225194186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA PRICE DECKER Owner Therapist 715-362-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 2780-125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 3361-125) |
| 101YM0800X Counselor Mental Health (Licence: WI 2170-123) | |
| 101YM0800X Counselor Mental Health (Licence: WI 2124-123) | |
| 103T00000X Psychologist (Licence: WI 35255-020) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |