Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CORY S DIVINE, CSAC, LPC
Active Sole ProprietorCORY S DIVINE, CSAC, LPC is a Professional Counselor healthcare provider located in MADISON, Wisconsin. NPI 1558494211 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · MADISON, WI
Registration Details
- NPI Number
- 1558494211
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 13, 2007 (19.407124780396 yrs)
- Last Updated
- Jan 2, 2025
- Licenses
-
6901-125 (WI)15367-132 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6402 ODANA RD STE 106MADISON, WI, 537191123Browse WI providers · Browse ZIP 53719
- Phone
- 6082208627
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Professional Counselor Providers in MADISON, WI
| Name | Credential | NPI |
|---|---|---|
| COLETTE GIRARD | PC | 1841266004 |
| MARY L GUTKNECHT | PC | 1891761813 |
| MS. KATHRYN ANN FOLK | M.A. | 1619945425 |
| TED D IZYDOR | LPC | 1275501140 |
| PENNY L RAIMER | LPC | 1629046511 |
| JANE K BONLENDER | LPC | 1336105337 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.