Individual
TAYLOR CERMINARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 E OLIN AVE, MADISON, WI 53713-1434
(608) 807-1428
Mailing address
210 E OLIN AVE, MADISON, WI 53713-1434
(608) 807-1428
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19454
WI
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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