| Clear Path Therapy Llc | |
|
200 Mason St Ste 11 Onalaska WI 54650-7061 | |
| (608) 769-6466 | |
| Not Available |
| Full Name | Clear Path Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 200 Mason St Ste 11, Onalaska, Wisconsin |
| Authorized Official Name and Position | Michelle Boisen (LICENSE PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6087696466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Path Therapy Llc 200 Mason St Ste 11 Onalaska WI 54650-7061 Ph: () - | Clear Path Therapy Llc 200 Mason St Ste 11 Onalaska WI 54650-7061 Ph: (608) 769-6466 |
| NPI Number | 1255904363 |
|---|---|
| Provider Enumeration Date | 07/19/2021 |
| Last Update Date | 07/19/2021 |
| Certification Date | 07/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255904363 | NPI | - | NPPES |
| 1669016051 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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