Individual
LAURA L MENNINGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
1102 S PARK ST, MADISON, WI 53715-1708
(608) 282-8270
(608) 278-8204
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3411
WI
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/10/2006
Last updated
03/28/2024
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