| Allied Counseling Services, S.c. | |
|
2717 N Grandview Blvd Ste 202 Waukesha WI 53188-1660 | |
| (262) 751-5672 | |
| (855) 702-2180 |
| Full Name | Allied Counseling Services, S.c. |
|---|---|
| Speciality | Psychologist |
| Location | 2717 N Grandview Blvd Ste 202, Waukesha, Wisconsin |
| Authorized Official Name and Position | Christi C Freiburger (VICE PRESIDENT) |
| Authorized Official Contact | 2627515672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Counseling Services, S.c. Po Box 212 Dousman WI 53118-0212 Ph: (262) 751-5672 | Allied Counseling Services, S.c. 2717 N Grandview Blvd Ste 202 Waukesha WI 53188-1660 Ph: (262) 751-5672 |
| NPI Number | 1003867813 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Medicare PECOS PAC ID | 9537061932 |
|---|---|
| Medicare Enrollment ID | O20040126000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003867813 | NPI | - | NPPES |
| 42193600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1950 (Wisconsin) | Primary |
| Provider Name | James G Freiburger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609829860 PECOS PAC ID: 6709788110 Enrollment ID: I20041022000413 |
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