| NPI | 1467649921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E. JOHNSTON Director 715-832-0238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2024-06-06 |