Integrated Life Counseling Center, LLC

NPI #1518328277 in West Bend, Wisconsin

Provider Information

NPI Number
1518328277
Entity Type
Organization
Organization Name
Integrated Life Counseling Center, LLC
Primary Specialty
Social Worker - Clinical
Enumeration Date
Mar 9, 2016
Last Updated
Mar 9, 2016

Practice Location

Address
215 N MAIN ST
Address 2
205
ZIP Code
53095-3347
Phone
(262) 416-2922

Authorized Official

Name
HADWAT SANKARI, LCSW
Title
SOCIAL WORKER, LCSW
Phone
(262) 416-2922

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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