| NPI | 1801333216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYANNA ASHENBRENER Licensed Professional Counselor 920-905-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6280-125) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |