Individual
DR. JOHN PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., L.P.C.
Contact information
Practice address
1500 N 34TH ST STE 300, SUPERIOR, WI 54880-4476
(218) 464-3057
(888) 724-4599
Mailing address
PO BOX 2000, UNIVERSITY OF WISCONSIN-SUPERIOR, SWENSON 2060, SUPERIOR, WI 54880-4500
(715) 394-8151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4417
WI
Other
Enumeration date
05/12/2017
Last updated
07/21/2022
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