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Individual

MS. CHRISTINE MARIE MISKOWIAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CRC, LPC

Contact information

Practice address
3142 DORCHESTER WAY, 5, MADISON, WI 53719-4326
(608) 333-5521
Mailing address
3142 DORCHESTER WAY, 5, MADISON, WI 53719-4326
(608) 333-5521

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
464226
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00097560
CERTIFICATION IN REHABILITATION COUNSELING
01
464226
TRAINING LICENSE FOR PROFESSIONAL COUNSELING
WI
Enumeration date
03/31/2010
Last updated
03/31/2010
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