Clinic For Christian Counseling Llc | |
3410 Oakwood Mall Dr Ste 700 Eau Claire WI 54701-2617 | |
(715) 832-1678 | |
(715) 832-6680 |
Full Name | Clinic For Christian Counseling Llc |
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Speciality | Community/Behavioral Health |
Location | 3410 Oakwood Mall Dr Ste 700, Eau Claire, Wisconsin |
Authorized Official Name and Position | Kimberly Jean Stein (OWNER) |
Authorized Official Contact | 7158321678 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clinic For Christian Counseling Llc 3410 Oakwood Mall Dr Ste 700 Eau Claire WI 54701-2617 Ph: (715) 832-1678 | Clinic For Christian Counseling Llc 3410 Oakwood Mall Dr Ste 700 Eau Claire WI 54701-2617 Ph: (715) 832-1678 |
NPI Number | 1720135932 |
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Provider Enumeration Date | 01/03/2007 |
Last Update Date | 01/04/2021 |
Certification Date | 01/04/2021 |
Medicare PECOS PAC ID | 0547438848 |
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Medicare Enrollment ID | O20110712000200 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720135932 | NPI | - | NPPES |
39285200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 686-125 (Wisconsin) | Primary |
Provider Name | Carol E Gordon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801116355 PECOS PAC ID: 9335317031 Enrollment ID: I20110725000503 |
Provider Name | Jennifer J Bargmann |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1417363987 PECOS PAC ID: 8527401033 Enrollment ID: I20240212001299 |
Provider Name | Kimberly J Stein |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1518350347 PECOS PAC ID: 1951734904 Enrollment ID: I20240311001722 |
Provider Name | Michael T Bauer |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1861562449 PECOS PAC ID: 2961849526 Enrollment ID: I20240319002660 |
Provider Name | Daniel James Cruger |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871036228 PECOS PAC ID: 9931548765 Enrollment ID: I20240412002683 |
Provider Name | Tonya L. Hughes |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1366787046 PECOS PAC ID: 6507205275 Enrollment ID: I20240415000070 |
Provider Name | Amy M Polzin |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1174042782 PECOS PAC ID: 7810337086 Enrollment ID: I20240506000108 |
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