Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 760-226 | WI |
N | 101YP2500X | Professional Counselor | 760-226 | WI |
NPI | 1003125469 |
---|---|
Provider Name | Ms. Katherine Mary Delchambre |
First Address | Madison, WI 53718-7940 |
Second Address | Madison, WI 53718-7940 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2010 |
Last Update Date | 01/03/2011 |