| Yahara Counseling Center, Llc | |
|
6320 Monona Dr Ste 408 Monona WI 53716-3975 | |
| (608) 467-9074 | |
| (608) 467-9075 |
| Full Name | Yahara Counseling Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 6320 Monona Dr Ste 408, Monona, Wisconsin |
| Authorized Official Name and Position | Marilsa Hansen (PROFESSIONAL LICENSED COUNSELOR) |
| Authorized Official Contact | 6088387931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yahara Counseling Center, Llc 5203 N Autumn Ln Mc Farland WI 53558-8612 Ph: (608) 838-7931 | Yahara Counseling Center, Llc 6320 Monona Dr Ste 408 Monona WI 53716-3975 Ph: (608) 467-9074 |
| NPI Number | 1003168139 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 10/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003168139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 4572-125 (Wisconsin) | Primary |
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