Center for Life & Loss Integration

NPI #1073780961 in Monona, Wisconsin

Provider Information

NPI Number: 1073780961
Entity Type: Organization
Organization Name: Center for Life & Loss Integration
Primary Specialty: Counselor - Mental Health
Enumeration Date: May 11, 2008
Last Updated: May 11, 2008

Practice Location

Address: 4123 MONONA DR
City: Monona
State: Wisconsin
ZIP Code: 53716-1661
Phone: (608) 258-7771

Authorized Official

Name: MRS. JUDITH F. KOEPPL, ACSW CICSW
Title: DIRECTOR
Phone: (608) 258-7771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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