SearchWisconsin225700000X

Stanislav Kononov, LMT

NPI 1922748169 · on the registry since 2022 · sole proprietor

Practice

Address
5215 N Ironwood Rd Ste 104
Glendale, WI 53217
Phone
(414) 334-1023
Organisation at this address
Ifast, Llc
Therapized Llc
Wi Cbt Center Llc
Connectogether Llc
Miracle Beginnings Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-03-29

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