| Collaborative Journey Counseling, Llc | |
|
314 Ash St Baraboo WI 53913-2507 | |
| (608) 477-1484 | |
| (608) 356-2136 |
| Full Name | Collaborative Journey Counseling, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 314 Ash St, Baraboo, Wisconsin |
| Authorized Official Name and Position | Chris Sommerfield (OWNER) |
| Authorized Official Contact | 6084771484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Journey Counseling, Llc 314 Ash St Baraboo WI 53913-2507 Ph: (608) 477-1484 | Collaborative Journey Counseling, Llc 314 Ash St Baraboo WI 53913-2507 Ph: (608) 477-1484 |
| NPI Number | 1386187516 |
|---|---|
| Provider Enumeration Date | 11/20/2016 |
| Last Update Date | 11/20/2016 |
| Medicare PECOS PAC ID | 4486093044 |
|---|---|
| Medicare Enrollment ID | O20240415003802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386187516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1038-124 (Wisconsin) | Primary |
| Provider Name | Christopher Sommerfield |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285057315 PECOS PAC ID: 3476992033 Enrollment ID: I20240415003850 |
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