Individual
ROSA DANESHVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 MONONA DR STE E102, MONONA, WI 53716-3554
(608) 286-1132
Mailing address
5900 MONONA DR STE 102, MONONA, WI 53716-3556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7404
WI
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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