Individual
MARIAH SMUGALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
112 N CENTRAL AVE, OWEN, WI 54460-9776
(715) 229-0330
(715) 229-0331
Mailing address
PO BOX 65, OWEN, WI 54460-0065
(715) 229-0330
(715) 229-0331
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184002560
—
WI
Enumeration date
05/18/2015
Last updated
08/15/2024
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