Individual
MR. CARL COCCARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC, SUD, NCC
Contact information
Practice address
49 KESSEL CT STE 105, MADISON, WI 53711-6275
(608) 280-2520
Mailing address
49 KESSEL CT, MADISON, WI 53711-6275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
17503130
WI
101YM0800X
Mental Health Counselor
Primary
2651266
WI
Other
Enumeration date
10/07/2015
Last updated
09/02/2016
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