| Christian Life Counseling Llc | |
|
12630 W North Ave Bldg E Brookfield WI 53005 | |
| (262) 785-1008 | |
| (262) 432-9059 |
| Full Name | Christian Life Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12630 W North Ave Bldg E, Brookfield, Wisconsin |
| Authorized Official Name and Position | Tanya L Gerhard (CO-OWNER) |
| Authorized Official Contact | 2627851008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Life Counseling Llc 12630 W North Ave Bldg E Brookfield WI 53005-4626 Ph: (262) 785-1008 | Christian Life Counseling Llc 12630 W North Ave Bldg E Brookfield WI 53005 Ph: (262) 785-1008 |
| NPI Number | 1023056009 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 04/09/2020 |
| Certification Date | 04/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023056009 | NPI | - | NPPES |
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