Organization
YAHARA COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILSA HANSEN M.S. (PROFESSIONAL LICENSED COUNSELOR)
(608) 838-7931
Entity
Organization
Contact information
Practice address
6320 MONONA DR STE 408, MONONA, WI 53716-3975
(608) 467-9074
(608) 467-9075
Mailing address
5203 N AUTUMN LN, MC FARLAND, WI 53558-8612
(608) 838-7931
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4572-125
WI
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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