Individual
AVERY REVEN KOWALKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED PROFESSIONA
Contact information
Practice address
6400 GISHOLT DR STE 100, MONONA, WI 53713-4800
(608) 669-5499
Mailing address
1914 DOLORES DR, MADISON, WI 53716-2318
(608) 669-5499
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6438-125
WI
Other
Enumeration date
11/21/2019
Last updated
09/24/2024
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