Organization
SELF & OTHERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN M BLANK LMFT (OWNER)
(608) 628-1307
Entity
Organization
Contact information
Practice address
702 N BLACKHAWK AVE STE 100, MADISON, WI 53705-3357
(608) 628-1307
(608) 663-5928
Mailing address
702 N BLACKHAWK AVE STE 100, MADISON, WI 53705-3357
(608) 628-1307
(608) 663-5928
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
06/27/2024
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