Adult Counseling & Child Guidance Clinic | |
301 E Kent St Wausau WI 54403 | |
(715) 842-3913 | |
(715) 842-0092 |
Full Name | Adult Counseling & Child Guidance Clinic |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 301 E Kent St, Wausau, Wisconsin |
Authorized Official Name and Position | Barbara Jean Yeasts (CLINIC DIRECTOR) |
Authorized Official Contact | 7158423913 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Adult Counseling & Child Guidance Clinic Po Box 615 Wausau WI 54402-0615 Ph: (715) 842-3913 | Adult Counseling & Child Guidance Clinic 301 E Kent St Wausau WI 54403 Ph: (715) 842-3913 |
NPI Number | 1912078643 |
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Provider Enumeration Date | 11/13/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912078643 | NPI | - | NPPES |
42209600 | Medicaid | WI | |
21824 | Other | WI | SECURITY HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2057 (Wisconsin) | Primary |
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