Individual provider · Type 1 NPI

Patrick Momoh Fau

Mental Health Counselor · Madison, WI

NPI number 1275132847 Active

Practice location

802 E Gorham St
Madison, WI 53703-1524

Fax (608) 280-4730

Mailing address

25 Kessel Ct Ste 105
Madison, WI 53711-6227

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X171M00000X (WI)

Mental Health Counselor: Definition to come...

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About NPI 1275132847

Patrick Momoh Fau's National Provider Identifier is 1275132847, issued on Oct 23, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Madison, WI. The record was last updated on Nov 27, 2023.