| Birch Springs Counseling East | |
|
6320 Monona Dr Suite 312 Monona WI 53716-3952 | |
| (608) 235-3546 | |
| (608) 839-0435 |
| Full Name | Birch Springs Counseling East |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6320 Monona Dr, Monona, Wisconsin |
| Authorized Official Name and Position | Kaitlyn Ann Laurie (OWNER) |
| Authorized Official Contact | 6082353546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birch Springs Counseling East 6320 Monona Dr Suite 312 Monona WI 53716-3952 Ph: (608) 235-3546 | Birch Springs Counseling East 6320 Monona Dr Suite 312 Monona WI 53716-3952 Ph: (608) 235-3546 |
| NPI Number | 1336319516 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 03/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336319516 | NPI | - | NPPES |
| 42221000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1915125 (Wisconsin) | Primary |
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