Individual
ROXANNE NOWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
2601 POST RD UNIT 794, PLOVER, WI 54467-3385
(715) 255-0530
Mailing address
PO BOX 794, PLOVER, WI 54467-0794
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6247-125
WI
106H00000X
Marriage & Family Therapist
Primary
1144-124
WI
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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