Search › Wisconsin › 101YP2500X
Cory Divine, CSAC, LPC
NPI 1558494211 · on the registry since 2007 · sole proprietor
Practice
- Address
- 6402 Odana Rd Ste 106
Madison, WI 53719 - Phone
- (608) 220-8627
- Organisation at this address
- Chameleon Group
The Coping Corner
The Community Tree
Detloff Psychology
Brich Springs CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Additional practice sites
- 560 4th St, Prairie Du Sac, WI
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-02
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