| Madison Art Therapy Llc | |
|
700 Ray O Vac Dr Ste 320 Madison WI 53711-2471 | |
| (608) 520-0846 | |
| (608) 709-1079 |
| Full Name | Madison Art Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 700 Ray O Vac Dr Ste 320, Madison, Wisconsin |
| Authorized Official Name and Position | Kelly J Toltzien (MEMBER/ART THERAPIST) |
| Authorized Official Contact | 6085200846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Art Therapy Llc 700 Ray O Vac Dr Ste 320 Madison WI 53711-2471 Ph: (608) 520-0846 | Madison Art Therapy Llc 700 Ray O Vac Dr Ste 320 Madison WI 53711-2471 Ph: (608) 520-0846 |
| NPI Number | 1528602299 |
|---|---|
| Provider Enumeration Date | 11/05/2019 |
| Last Update Date | 11/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528602299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 221700000X | Art Therapist | (* (Not Available)) | Secondary |
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