Organization
BALANCED BRAIN AND BODY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHE EMILY BONK LPC (OWNER/PSYCHOTHERAPIST)
(608) 469-5137
Entity
Organization
Contact information
Practice address
6510 GRAND TETON PLZ STE 400, MADISON, WI 53719-1029
(608) 561-1310
Mailing address
6510 GRAND TETON PLZ STE 400, MADISON, WI 53719-1029
(608) 561-1310
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
06/06/2022
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