Individual
ALEX DICIAULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 5TH AVE S STE 507, LA CROSSE, WI 54601-4018
(608) 797-5679
Mailing address
115 5TH AVE S, LA CROSSE, WI 54601-9200
(262) 444-3226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5240-226
WI
Other
Enumeration date
02/21/2022
Last updated
03/11/2023
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