Organization
ATELIER THERAPY STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MARIE ROSS MS, LPC (THERAPIST)
(920) 819-2914
Entity
Organization
Contact information
Practice address
421 GEORGE ST, SUITE 202, DE PERE, WI 54115-2711
(920) 819-2914
Mailing address
421 GEORGE ST, SUITE 202, DE PERE, WI 54115-2711
(920) 819-2914
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3898-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235325309
NPI INDIVIDUAL
—
05
—
43724700
—
WI
Enumeration date
06/23/2010
Last updated
06/23/2010
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