Organization
WISCONSIN PSYCHOTHERAPY AND HEALING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLIEN CONNOR (BILLING MANAGER)
(202) 641-3750
Entity
Organization
Contact information
Practice address
6401 ODANA RD STE 13, MADISON, WI 53719-1126
(608) 288-8022
Mailing address
6401 ODANA RD STE 13, MADISON, WI 53719-1126
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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