| NPI | 1619042199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SUE MARKS Clinic Director 608-223-1506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2024-03-04 |