| Atelier Therapy Studio | |
|
421 George St Suite 202 De Pere WI 54115-2711 | |
| (920) 819-2914 | |
| Not Available |
| Full Name | Atelier Therapy Studio |
|---|---|
| Speciality | Counselor - Professional |
| Location | 421 George St, De Pere, Wisconsin |
| Authorized Official Name and Position | Kathleen Marie Ross (THERAPIST) |
| Authorized Official Contact | 9208192914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atelier Therapy Studio 421 George St Suite 202 De Pere WI 54115-2711 Ph: (920) 819-2914 | Atelier Therapy Studio 421 George St Suite 202 De Pere WI 54115-2711 Ph: (920) 819-2914 |
| NPI Number | 1194036228 |
|---|---|
| Provider Enumeration Date | 06/23/2010 |
| Last Update Date | 06/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194036228 | NPI | - | NPPES |
| 1235325309 | Other | NPI INDIVIDUAL | |
| 43724700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3898-125 (Wisconsin) | Primary |
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