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Organization
WILDFLOWER EXPRESSIVE ARTS THERAPIES LLC
Active
Organization
WILDFLOWER EXPRESSIVE ARTS THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY J TOLTZIEN LPC, ATR (DIRECTOR, OWNER)
(608) 520-0846
Entity
Organization
Contact information
Practice address
700 RAYOVAC DR., SUITE 320, MADISON, WI 53711-5371
(608) 520-0846
Mailing address
3600 CARNCROSS DR, MCFARLAND, WI 53558-9617
(608) 217-8757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
221700000X
Art Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932672003
NPPES
—
Enumeration date
06/06/2022
Last updated
11/07/2022
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