NPI 1417815861

Jacob Zhicao Tang

Practitioner Drama Therapist Onalaska, WI

Practice location

Address: 1352 County Road Ss, Onalaska, WI 54650-8522
Phone: (617) 633-8690

Registered specialties

Drama Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 101200000X

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Registry record

NPI: 1417815861
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jan 2026
Record last updated: 14 Jan 2026

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.