| NPI | 1255567608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH PETERMAN Owner/Therapist 715-524-8896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 189-123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 1998-132) |
| 103TC0700X Psychologist, Clinical (Licence: WI 1466-057) | |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-05-29 |