MOONLIGHT PSYCHOTHERAPY AND PSYCHOLOGICAL SERVICES, LLC

LA CROSSE, WI
NPI1972075661
Entity TypeOrganization
Authorized ContactFREDERICK WILLIAM GREEN
Owner / Psychologist
207-317-0557
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
Enumeration Date2018-12-19
Last Update Date2018-12-19
Business Address
MOONLIGHT PSYCHOTHERAPY AND PSYCHOLOGICAL SERVICES, LLC
205 5TH AVE S STE 428
LA CROSSE, WI 54601-4059
Phone number: 207-317-0557
Mailing Address
MOONLIGHT PSYCHOTHERAPY AND PSYCHOLOGICAL SERVICES, LLC
1718 SUNSET DR
LA CROSSE, WI 54601-7030
Phone number: 207-317-0557
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