Organization
ENIGMA PSYCHOLOGICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL GIRARD MS LPC (PRESIDENT)
(715) 491-7370
Entity
Organization
Contact information
Practice address
125 E LINCOLN AVE STE 3, FALL CREEK, WI 54742-9526
(715) 491-7370
(715) 598-6222
Mailing address
PO BOX 80, FALL CREEK, WI 54742-0080
(715) 461-7370
(715) 598-6222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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