Organization
BIRCH SPRINGS COUNSELING EAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN ANN LAURIE MS LPC (OWNER)
(608) 235-3546
Entity
Organization
Contact information
Practice address
6320 MONONA DR, SUITE 312, MONONA, WI 53716-3952
(608) 235-3546
(608) 839-0435
Mailing address
6320 MONONA DR, SUITE 312, MONONA, WI 53716-3952
(608) 235-3546
(608) 839-0435
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1915125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42221000
—
WI
Enumeration date
03/04/2008
Last updated
03/04/2008
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