Individual provider · Type 1 NPI

Robin A. Deethardt, LPC

Professional Counselor · Portage, WI

NPI number 1124259841 Active

Practice location

2901 Hunters Trl
Portage, WI 53901-3403

Fax (608) 742-4087

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1124259841

Robin A. Deethardt, LPC's National Provider Identifier is 1124259841, issued on Jul 29, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portage, WI. The record was last updated on Jul 29, 2009.