Individual
MS. CASEY TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
700 REGENT ST STE 302, MADISON, WI 53715-2634
(608) 441-3290
Mailing address
700 REGENT ST STE 302, MADISON, WI 53715-2634
(608) 441-3290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E1300171
OH
101YP2500X
Professional Counselor
Primary
6876-125
WI
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/19/2016
Last updated
10/11/2018
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