Individual
MIRANDA KARGOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1943 WINNEBAGO ST, MADISON, WI 53704-5314
(999) 999-9999
Mailing address
1827 E WASHINGTON AVE, MADISON, WI 53704-5240
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11730-125
WI
101YP2500X
Professional Counselor
Primary
11730
WI
Other
Enumeration date
07/28/2023
Last updated
12/15/2025
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