| Applied Psychotherapy, Llc | |
|
724 22nd St S La Crosse WI 54601-5009 | |
| (608) 518-8851 | |
| Not Available |
| Full Name | Applied Psychotherapy, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 724 22nd St S, La Crosse, Wisconsin |
| Authorized Official Name and Position | Jessica Shattuck (OWNER/THERAPIST) |
| Authorized Official Contact | 6085188851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Applied Psychotherapy, Llc 724 22nd St S La Crosse WI 54601-5009 Ph: () - | Applied Psychotherapy, Llc 724 22nd St S La Crosse WI 54601-5009 Ph: (608) 518-8851 |
| NPI Number | 1316653249 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 01/24/2023 |
| Certification Date | 01/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316653249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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