| Aurora Community Counseling Employee Support And Services, Inc. | |
|
N4851 Highway 63 Spooner WI 54801-8675 | |
| (715) 635-4858 | |
| (715) 635-4861 |
| Full Name | Aurora Community Counseling Employee Support And Services, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | N4851 Highway 63, Spooner, 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. N4851 Highway 63 Spooner WI 54801-8675 Ph: (715) 635-4858 | Aurora Community Counseling Employee Support And Services, Inc. N4851 Highway 63 Spooner WI 54801-8675 Ph: (715) 635-4858 |
| NPI Number | 1962651646 |
|---|---|
| Provider Enumeration Date | 09/17/2008 |
| Last Update Date | 09/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962651646 | NPI | - | NPPES |
| 42244400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 2631 (Wisconsin) | Primary |
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