La Crosse Counseling & Wellness, Llc
Professional Counselor in Onalaska, WI(View on Map)
Legal Business Name
La Crosse Counseling & Wellness, Llc
NPI Number
1013439371
NPI Type
Organization
Enumeration Date
07/08/2017
Specialties
(Taxonomies)Name
Code
101YP2500X
101YA0400X
261QM0855X
261QM0850X
Primary Taxonomy
Yes
No
No
No
Licenses
State
Wisconsin
Wisconsin
License Number
3067-125
15560-131
Contact
Information
Purpose
Mailing
Location
Address
704 SAND LAKE RD STE 105
704 SAND LAKE RD STE 105
City
Onalaska
Onalaska
State
WI
WI
Postal Code
54650-2456
54650-2456
Country
US
US
Telephone Number
(608) 799-3881
(608) 799-3881
Authorized Official
Name
Nicole Johnson
Title or Position
OWNER & PSYCHOTHERAPIST
Telephone Number
(608) 616-1010
Identifiers
Identifier
1689616518
Identifier State
Unknown
Identifier Issuer
NPPES-TYPE I NPI
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/21/2022