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Organization
NICK YACKOVICH, PHD, S.C.
Active
Organization
NICK YACKOVICH, PHD, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK S YACKOVICH PHD (PRESIDENT)
(608) 215-0600
Entity
Organization
Contact information
Practice address
2800 ROYAL AVE STE 202, MONONA, WI 53713-1518
(608) 471-4222
(608) 471-4222
Mailing address
2800 ROYAL AVE STE 202, MONONA, WI 53713-1518
(608) 215-0600
(608) 471-4222
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
10/30/2023
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