Search › Wisconsin › 225700000X
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 LlcInferred 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