Robin A Deethardt, LPC

NPI #1124259841 in Portage, Wisconsin

Provider Information

NPI Number: 1124259841
Entity Type: Individual
Name: Robin A Deethardt, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Jul 29, 2009
Last Updated: Jul 29, 2009

Practice Location

Address: 2901 HUNTERS TRL
City: Portage
State: Wisconsin
ZIP Code: 53901-3403
Phone: (608) 742-5518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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