Christos Ministries Counseling | |
12970 W Bluemound Rd Suite 105 Elm Grove WI 53122-2607 | |
(262) 787-2904 | |
(262) 787-2909 |
Full Name | Christos Ministries Counseling |
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Speciality | Social Worker - Clinical |
Location | 12970 W Bluemound Rd, Elm Grove, Wisconsin |
Authorized Official Name and Position | Shelly R Lund (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 2627872904 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Christos Ministries Counseling 12970 W. Bluemound Rd. Suite 105 Elm Grove WI 53122 Ph: (262) 787-2904 | Christos Ministries Counseling 12970 W Bluemound Rd Suite 105 Elm Grove WI 53122-2607 Ph: (262) 787-2904 |
NPI Number | 1104009414 |
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Provider Enumeration Date | 12/10/2007 |
Last Update Date | 12/10/2007 |
Identifier | Type | State | Issuer |
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1104009414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2774-123 (Wisconsin) | Primary |
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