| Christian Family Counseling | |
|
757 S Main St Suite 8 Fond Du Lac WI 54935-5739 | |
| (920) 731-9798 | |
| (920) 731-1097 |
| Full Name | Christian Family Counseling |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 757 S Main St, Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | Linda M Rangel (INSURANCE PROVIDER COORDINATOR) |
| Authorized Official Contact | 2623455533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Family Counseling 1049 N Lynndale Dr Suite 1b Appleton WI 54914-3050 Ph: (920) 731-9798 | Christian Family Counseling 757 S Main St Suite 8 Fond Du Lac WI 54935-5739 Ph: (920) 731-9798 |
| NPI Number | 1205905908 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 02/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205905908 | NPI | - | NPPES |
| 42171800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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