Organization · Type 2 NPI

Rainbow Marifrog, LLC

Marriage & Family Therapist · Madison, WI

NPI number 1720830847 Active

Practice location

2917 International Ln Ste 202
Madison, WI 53704-3135

Fax (608) 646-7531

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	None listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

Another provider at this address

Rainbow Andrea Marifrog, LMFTMarriage & Family Therapist Madison, WI NPI 1407918329

Other marriage & family therapist providers in Madison

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NPI record

NPI: 1720830847
Entity type: Organization (Type 2)
Issued: Apr 2, 2024
Last updated: Apr 2, 2024
Status: Active
Subpart: Yes of Rainbow Marifrog, LLC

Other names

Wild Roots Healing Collective · doing business as

Authorized official

Ms. Rainbow Marifrog, MA, LMFT
Owner, Psychotherapist
(608) 520-6207

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720830847

Rainbow Marifrog, LLC's National Provider Identifier is 1720830847, issued on Apr 2, 2024. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Madison, WI. The record was last updated on Apr 2, 2024.