Organization
APPLIED PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SHATTUCK LCSW (OWNER/THERAPIST)
(608) 518-8851
Entity
Organization
Contact information
Practice address
724 22ND ST S, LA CROSSE, WI 54601-5009
(608) 518-8851
Mailing address
724 22ND ST S, LA CROSSE, WI 54601-5009
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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