Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 7489-125 | WI |
NPI | 1003427857 |
---|---|
Provider Name | Haley Pierson |
First Address | Sun Prairie, WI 53590-4695 |
Second Address | Sun Prairie, WI 53590-9825 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2020 |
Last Update Date | 11/05/2021 |