Organization
WISCONSIN PSYCHOTHERAPY AND HEALING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLIEN CONNOR PHD (BILLING MANAGER)
(202) 641-3750
Entity
Organization
Contact information
Practice address
6401 ODANA RD STE 13, MADISON, WI 53719-1126
(608) 288-8022
(608) 288-8977
Mailing address
6401 ODANA RD STE 13, MADISON, WI 53719-1126
(608) 288-8022
(608) 288-8977
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2000
WI
Other
Enumeration date
10/19/2006
Last updated
06/04/2015
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