| Monona Mediation And Counseling Llc | |
|
6320 Monona Dr Ste 314 Monona WI 53716-3985 | |
| (608) 442-3420 | |
| (608) 443-3421 |
| Full Name | Monona Mediation And Counseling Llc |
|---|---|
| Speciality | Psychologist |
| Location | 6320 Monona Dr Ste 314, Monona, Wisconsin |
| Authorized Official Name and Position | Kenneth Hugh Waldron (OWNER-PSYCHOLOGIST) |
| Authorized Official Contact | 6084423420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monona Mediation And Counseling Llc 6320 Monona Dr Ste 314 Monona WI 53716-3985 Ph: (608) 442-3420 | Monona Mediation And Counseling Llc 6320 Monona Dr Ste 314 Monona WI 53716-3985 Ph: (608) 442-3420 |
| NPI Number | 1073849717 |
|---|---|
| Provider Enumeration Date | 10/31/2009 |
| Last Update Date | 10/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073849717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1774-057 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 913-123 (Wisconsin) | Secondary |
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