Tolan, Theresa

Tolan, Theresa is an individual health care provider with primary practice located at 602 Pleasant Oak Dr , Oregon WI 53575-3282. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Tolan, Theresa can be contacted via phone (608) 835-5050.

Contact Information

Primary practice address
602 Pleasant Oak Dr Oregon WI 53575-3282
Phone: (608) 835-5050
Fax: (608) 835-5010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 673-124 Wisconsin

Profile Details

NPI number 1013123124
LBN Legal business name Tolan, Theresa
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013123124 NPPES
Wisconsin MEDICAID 40954100
Wisconsin Other 673-124

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