Organization
MINDFUL PSYCHOTHERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI S FRISON M.S. (PSYCHOTHERAPIST)
(608) 359-2727
Entity
Organization
Contact information
Practice address
162 W MAIN ST, SUITE G, WHITEWATER, WI 53190-1995
(262) 458-2525
Mailing address
9336 E GODFREY RD, MILTON, WI 53563-9033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3088125
WI
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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