Yahara Counseling Center, LLC

NPI #1003168139 in Monona, Wisconsin

Provider Information

NPI Number: 1003168139
Entity Type: Organization
Organization Name: Yahara Counseling Center, LLC
Primary Specialty: Counselor
Enumeration Date: Oct 12, 2012
Last Updated: Oct 12, 2012

Practice Location

Address: 6320 MONONA DR STE 408
City: Monona
State: Wisconsin
ZIP Code: 53716-3975
Phone: (608) 467-9074

Authorized Official

Name: MRS. MARILSA HANSEN, M.S.
Title: PROFESSIONAL LICENSED COUNSELOR
Phone: (608) 838-7931

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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