| Community Counseling Center Of Madison, Wi, Inc. | |
|
6629 University Ave Suite 209 Middleton WI 53562-3037 | |
| (608) 833-5880 | |
| (608) 829-3787 |
| Full Name | Community Counseling Center Of Madison, Wi, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6629 University Ave, Middleton, Wisconsin |
| Authorized Official Name and Position | Sharon A Barger (DIRECTOR) |
| Authorized Official Contact | 6088335880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling Center Of Madison, Wi, Inc. 6629 University Ave Suite 209 Middleton WI 53562-3037 Ph: (608) 833-5880 | Community Counseling Center Of Madison, Wi, Inc. 6629 University Ave Suite 209 Middleton WI 53562-3037 Ph: (608) 833-5880 |
| NPI Number | 1003936899 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003936899 | NPI | - | NPPES |
| 42165100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1222 (Wisconsin) | Primary |
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