| NPI | 1427208784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LLOYD PANULA Licensed Professional Counselor 715-395-7825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 2837-125) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |