Blackbird Psychotherapy LLC
NPI #1467024877 in Janesville, Wisconsin
Provider Information
- NPI Number
- 1467024877
- Entity Type
- Organization
- Organization Name
- Blackbird Psychotherapy LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jul 14, 2021
- Last Updated
- Jul 14, 2021
Practice Location
- Address
- 115 N JACKSON ST STE 100
- City
- Janesville
- State
- Wisconsin
- ZIP Code
- 53548-2952
- Phone
- (608) 631-0911
Authorized Official
- Name
- ALICIA OCZUS, LPC
- Title
- OWNER
- Phone
- (608) 631-0911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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