Individual
MARIAH ALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
115 5TH AVE S, LA CROSSE, WI 54601-9200
(608) 797-5679
Mailing address
3004 GILLETTE ST APT 35, LA CROSSE, WI 54601-3091
(920) 728-4289
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5238-226
WI
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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