| NPI | 1760219786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN G ANDERSON Practitioner 262-955-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP1600X Counselor Pastoral | |
| 171400000X | |
| 175F00000X Naturopath | |
| Enumeration Date | 2024-09-14 |
| Last Update Date | 2024-09-14 |