Individual
MS. CHRISTINE CHIYE TSUBOKURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1118 PROFESSIONAL DR, UPLANDS COUNSELING ASSOC, DODGEVILLE, WI 53533-1176
(608) 935-2838
(608) 935-9227
Mailing address
1118 PROFESSIONAL DR, UPLANDS COUNSELING ASSOC, DODGEVILLE, WI 53533-1176
(608) 935-2838
(608) 935-9227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2304-123
WI
1041C0700X
Clinical Social Worker
Primary
2304-123
WI
106H00000X
Marriage & Family Therapist
2304-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39536500
—
WI
Enumeration date
07/28/2006
Last updated
12/10/2010
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