| Bluebird Counseling Of Lake Country, Llc | |
|
148 E Milwaukee St # 1095 Jefferson WI 53549-1636 | |
| (270) 993-4705 | |
| Not Available |
| Full Name | Bluebird Counseling Of Lake Country, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 148 E Milwaukee St # 1095, Jefferson, Wisconsin |
| Authorized Official Name and Position | Heather E Sorensen (THERAPIST/OWNER) |
| Authorized Official Contact | 2709934705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebird Counseling Of Lake Country, Llc 148 E Milwaukee St # 1095 Jefferson WI 53549-1636 Ph: () - | Bluebird Counseling Of Lake Country, Llc 148 E Milwaukee St # 1095 Jefferson WI 53549-1636 Ph: (270) 993-4705 |
| NPI Number | 1689319733 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 05/03/2022 |
| Certification Date | 05/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689319733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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