Individual
MS. TAMMY J. CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2829 ROYAL AVE, MONONA, WI 53713-1535
(608) 661-2829
(608) 661-0907
Mailing address
4537 MEADOWWOOD CIR, DEFOREST, WI 53532-1739
(608) 345-1325
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
720-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12037438
CAQH
WI
01
—
390806186-59
UNITY HEALTH INSURANCE
WI
05
—
41009700
—
WI
Enumeration date
03/19/2007
Last updated
09/17/2021
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