| Aurora Community Counseling Employee Support And Services, Inc. | |
|
24670 State Road 35 70 Suite 1200 Siren WI 54872-4418 | |
| (715) 349-7233 | |
| (715) 349-7205 |
| Full Name | Aurora Community Counseling Employee Support And Services, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 24670 State Road 35 70, Siren, Wisconsin |
| Authorized Official Name and Position | Kelly Johnson (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7155329771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Community Counseling Employee Support And Services, Inc. 24670 State Road 35 70 Suite 1200 Siren WI 54872-4418 Ph: (715) 349-7233 | Aurora Community Counseling Employee Support And Services, Inc. 24670 State Road 35 70 Suite 1200 Siren WI 54872-4418 Ph: (715) 349-7233 |
| NPI Number | 1639329113 |
|---|---|
| Provider Enumeration Date | 09/22/2008 |
| Last Update Date | 09/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639329113 | NPI | - | NPPES |
| 42244500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 2632 (Wisconsin) | Primary |
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