Organization · Type 2 NPI
Open Space LLC
Professional Counselor · Madison, WI
NPI number
1194553404
Active
Practice location
402 Gammon Pl Ste 290
Madison, WI 53719-1075
Mailing address
4801 Tocora Ln
Madison, WI 53711-1222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
4 other providers at this address
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- Sarah ByerProfessional Counselor Madison, WI NPI 1891340287
- Susan A. Brown, PhD, APNPAdult Psychiatric/Mental Health Clinical Nurse Specialist Madison, WI NPI 1407990815
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About NPI 1194553404
Open Space LLC's National Provider Identifier is 1194553404, issued on Jul 26, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Madison, WI. The record was last updated on Jul 26, 2024.