Organization
HEALING PATH PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA DAMM (PSYCHOTHERAPIST)
(262) 292-1277
Entity
Organization
Contact information
Practice address
10144 N PORT WASHINGTON RD STE LL-C, MEQUON, WI 53092-5796
(262) 292-1277
(262) 292-4077
Mailing address
11035 N HEDGEWOOD LN, MEQUON, WI 53092-4909
(262) 292-1277
(262) 292-4077
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4182-125
WI
Other
Enumeration date
11/18/2017
Last updated
11/18/2017
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