Individual
AMBER K VANFOSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
6333 ODANA RD, MADISON, WI 53719-1170
(608) 270-2511
Mailing address
1125 WOODLAND WAY, MADISON, WI 53711-2535
(608) 780-3176
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4878-125
WI
Other
Enumeration date
09/26/2013
Last updated
11/15/2013
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