Individual
CAITLIN MARY CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT, ATR-P
Contact information
Practice address
300 FEMRITE DR, MONONA, WI 53716-3798
(608) 222-7311
Mailing address
220 EAST BLF, MADISON, WI 53704-2355
(708) 712-1630
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WI
101YM0800X
Mental Health Counselor
4610-226
WI
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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