| Doctor Name: | MS. CHRISTINE CHIYE TSUBOKURA |
| NPI Number: | 1518971324 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 2304-123 |
| Business Practice Address: | 1118 Professional Dr Uplands Counseling Assoc Dodgeville, WI - 535331176 |
| Business Phone Number: | 6089352838 |
| Business Fax Number: | 6089359227 |
| Mailing Address: | 1118 Professional Dr, Uplands Counseling Assoc DODGEVILLE |
| State: | WI |
| Postal Code: | 535331176 |
| Phone Number: | 6089352838 |
| Fax Number: | 6089359227 |
| NPI Enumeration Date: | 07/28/2006 |
| NPI Last Update Date: | 12/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2304-123 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |