Individual provider · Type 1 NPI

Emma Shore, MFT-IT

Marriage & Family Therapist · Madison, WI

NPI number 1750126090 Active

Practice location

307 S Paterson St Ste 120
Madison, WI 53703-3517

Call (608) 501-1629 Map

Mailing address

107 Riverside Dr
Madison, WI 53704-5235

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X1104-228 (WI)

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…

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About NPI 1750126090

Emma Shore, MFT-IT's National Provider Identifier is 1750126090, issued on Jun 27, 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 Jun 27, 2024.