| Christian Family Counseling | |
|
112 Peace Lutheran Pkwy Hartford WI 53027-1159 | |
| (800) 438-1772 | |
| (262) 293-9737 |
| Full Name | Christian Family Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 112 Peace Lutheran Pkwy, Hartford, 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 W175n11120 Stonewood Dr Germantown WI 53022-6511 Ph: (800) 438-1772 | Christian Family Counseling 112 Peace Lutheran Pkwy Hartford WI 53027-1159 Ph: (800) 438-1772 |
| NPI Number | 1386713097 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 08/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386713097 | NPI | - | NPPES |
| 000084585 | Other | WI | MEDICARE GROUP ID -P TAN |
| 42223600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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