Individual
REBECCA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S BEDFORD ST STE 7, MADISON, WI 53703-3695
(608) 313-4072
Mailing address
301 S BEDFORD ST STE 7, MADISON, WI 53703-3695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7313-125
WI
221700000X
Art Therapist
144-36
WI
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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