Organization
CONSCIOUS PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA GORSKI PMHNP (OWNER)
(608) 406-4477
Entity
Organization
Contact information
Practice address
119 19TH ST N, LA CROSSE, WI 54601-3724
(608) 406-4477
Mailing address
505 KING ST STE 218, LA CROSSE, WI 54601-4289
(608) 406-4477
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
05/19/2020
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