Organization
PASTORAL & FAMILY THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD MICHAEL NORMAN PH.D., LPC, LMFT (OWNER)
(262) 473-5005
Entity
Organization
Contact information
Practice address
162 W MAIN ST, SUITE G, WHITEWATER, WI 53190-1995
(262) 473-5005
Mailing address
162 W MAIN ST, SUITE G, WHITEWATER, WI 53190-1995
(262) 473-5005
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2876-125
WI
251S00000X
Community/Behavioral Health Agency
653-124
WI
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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