Christian Family Counseling | |
2345 N 25th St Milwaukee WI 53206-1003 | |
(262) 345-5560 | |
(262) 345-5562 |
Full Name | Christian Family Counseling |
---|---|
Speciality | Social Worker - Clinical |
Location | 2345 N 25th St, Milwaukee, Wisconsin |
Authorized Official Name and Position | Daniel P Nommensen (PROGRAMS DIRECTOR) |
Authorized Official Contact | 2623455560 |
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: (262) 345-5560 | Christian Family Counseling 2345 N 25th St Milwaukee WI 53206-1003 Ph: (262) 345-5560 |
NPI Number | 1497029904 |
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Provider Enumeration Date | 03/01/2012 |
Last Update Date | 03/01/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497029904 | NPI | - | NPPES |
39798400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7143-123 (Wisconsin) | Primary |
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