| Christian Family Counseling | |
|
4200 W Douglas Ave Milwaukee WI 53209-3529 | |
| (800) 438-1772 | |
| (262) 293-9737 |
| Full Name | Christian Family Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4200 W Douglas Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Linda Rangel (INSURANCE 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 Attn: Linda Rangel Germantown WI 53022-6511 Ph: (800) 438-1772 | Christian Family Counseling 4200 W Douglas Ave Milwaukee WI 53209-3529 Ph: (800) 438-1772 |
| NPI Number | 1063964591 |
|---|---|
| Provider Enumeration Date | 11/01/2016 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063964591 | NPI | - | NPPES |
| 42223600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17655-130 (Wisconsin) | Secondary |
| 101YM0800X | Counselor - Mental Health | 2449-226 (Wisconsin) | Primary |
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