Organization
UNIVERSITY OF WISCONSIN - LA CROSSE
Active
Parent organization
UNIVERSITY OF WISCONSIN - LA CROSSE
Other names
Counseling and Testing Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF WISCONSIN - LA CROSSE
Authorized official
CRYSTAL DAWN CHAMPION PHD, LP (DIRECTOR)
(608) 785-8073
Entity
Organization
Contact information
Practice address
1725 STATE ST, 2106 CENTENNIAL HALL, LA CROSSE, WI 54601-5460
(608) 785-8073
Mailing address
1725 STATE ST, LA CROSSE, WI 54601-3742
(608) 785-8073
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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