| NPI | 1720026107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CARL JOHNSON Psychologist 920-338-8699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 1752) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-09-09 |