| NPI | 1225583883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JOHNSON Psychotherapist 715-416-1381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2025-02-16 |