| Coastal Waters Counseling Services | |
|
139 N Main St Ste 104 West Bend WI 53095-3300 | |
| (262) 305-8075 | |
| (262) 353-3777 |
| Full Name | Coastal Waters Counseling Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 139 N Main St Ste 104, West Bend, Wisconsin |
| Authorized Official Name and Position | Melissa Gloff (OWNER) |
| Authorized Official Contact | 2623058075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Waters Counseling Services 139 N Main St Ste 104 West Bend WI 53095-3300 Ph: (262) 305-8075 | Coastal Waters Counseling Services 139 N Main St Ste 104 West Bend WI 53095-3300 Ph: (262) 305-8075 |
| NPI Number | 1396427399 |
|---|---|
| Provider Enumeration Date | 08/01/2023 |
| Last Update Date | 08/01/2023 |
| Certification Date | 08/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396427399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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