Organization
COMMUNITY COUNSELING CENTER OF MADISON, WI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON A BARGER PH.D. (DIRECTOR)
(608) 833-5880
Entity
Organization
Contact information
Practice address
6629 UNIVERSITY AVE, SUITE 209, MIDDLETON, WI 53562-3037
(608) 833-5880
(608) 829-3787
Mailing address
6629 UNIVERSITY AVE, SUITE 209, MIDDLETON, WI 53562-3037
(608) 833-5880
(608) 829-3787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1222
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42165100
—
WI
Enumeration date
03/29/2007
Last updated
08/22/2020
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