Organization
ALLEMAGNE COUNSELING & CONSULTATION SERVICES,
Active
Other names
The EMDR Center For Relationships & Healing, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN L ALLEMAGNE PH.D. (OWNER)
(608) 325-9500
Entity
Organization
Contact information
Practice address
2916 MARKETPLACE DRIVE, SUITE # 212, FITCHBURG, WI 53719-5327
(608) 325-9500
(888) 345-6310
Mailing address
2916 MARKETPLACE DRIVE, SUITE # 212, FITCHBURG, WI 53719-5327
(608) 325-9500
(888) 345-6310
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
166000551
IL
103TC1900X
Counseling Psychologist
Primary
761124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166000551
IL LICENSE
IL
01
—
761124
WISCONSIN LICENSE
WI
Enumeration date
01/27/2010
Last updated
08/07/2012
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