Individual provider · Type 1 NPI

Madison Bear

Mental Health Counselor · Portage, WI

NPI number 1417631896 Active

Practice location

1508 New Pinery Rd
Portage, WI 53901-1312

Mailing address

W8053 Whitetail Dr
Pardeeville, WI 53954-9588

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7461-226 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1417631896

Madison Bear's National Provider Identifier is 1417631896, issued on Jun 14, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portage, WI. The record was last updated on Jun 19, 2023.