Organization
EATING DISORDER SUPPORT NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA J WALDEN LPC (DIRECTOR)
(608) 843-7055
Entity
Organization
Contact information
Practice address
429 GAMMON PL STE 200, MADISON, WI 53719-1053
(608) 843-7055
(608) 821-0938
Mailing address
429 GAMMON PL STE 200, MADISON, WI 53719-1053
(608) 843-7055
(608) 821-0938
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5147-125
WI
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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