NPI 1073780961

Center for Life & Loss Integration

Organisation Mental Health Counselor Monona, WI

Practice location

Address: 4123 Monona Dr, Monona, WI 53716-1661
Phone: (608) 258-7771
Fax: (608) 832-6486

Authorised official

Name: Judith F. Koeppl
Title: Director
Phone: (608) 258-7771

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 1842123 (WI)

Other Counselor providers in Wisconsin →

Registry record

NPI: 1073780961
Entity type: Organization
NPI issued: 11 May 2008
Record last updated: 11 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.