Children'S Hospital Of Wisconsin
Counselor, Professional in Mount Pleasant, WI. Organization (NPI-2).
NPI number1962003707
StatusActive
Last updated in NPPESNov 6, 2020
Details
- NPI
- 1962003707
- Entity type
- Organization (NPI-2)
- Legal business name
- Children'S Hospital Of Wisconsin
- Organization subpart
- No
- Enumeration date
- Nov 6, 2020
- Certification date
- Nov 6, 2020
- Last updated
- Nov 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
8800 Washington AveMount Pleasant, WI 53406-3701
Phone 262-664-7423
Mailing address
8800 Washington AveMount Pleasant, WI 53406-3701
Authorized official
Katrina Marie Kiefer
Child And Family Therapist II
2629946884
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