| NPI | 1457373441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J. HENKEL Licensed Marriage & Family Therapis 715-531-6760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 616-124) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 1066) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |