Individual
MASSENDRA ANN MUSIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCIT
Contact information
Practice address
815 FORWARD DR, MADISON, WI 53711-2443
(608) 268-6530
Mailing address
815 FORWARD DR, MADISON, WI 53711-2443
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8554-226
WI
Other
Enumeration date
09/04/2024
Last updated
07/01/2025
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