Madison Bear Valid NPI

Individual provider · Mental Health Counselor · Portage, WI

NPI

1417631896

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

7461-226 (WI)

Sex

Female

Sole proprietor

No

Enumerated

2023-06-14

Last updated

2023-06-19