SearchWisconsin101YM0800X

Theodore East, MS.MFT

NPI 1447742838 · on the registry since 2018

Practice

Address
108 W 2nd St N
Ladysmith, WI 54848
Phone
(715) 532-9771
Fax
(715) 532-9774
Clinicians at this address
6

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
106H00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin