Organization
RED WILLOW THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CURTIS TINDALL LPC (OWNER)
(608) 225-4002
Entity
Organization
Contact information
Practice address
111 S 1ST ST, MADISON, WI 53704-5244
(608) 225-4002
(608) 255-2752
Mailing address
415 LLANOS ST, VERONA, WI 53593-1945
(608) 225-4002
(608) 255-2752
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100053846
—
WI
Enumeration date
04/14/2021
Last updated
04/14/2021
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