| Community Counseling & Evaluation Services, Llc | |
|
115 S Main St Jefferson WI 53549-1631 | |
| (920) 728-1125 | |
| Not Available |
| Full Name | Community Counseling & Evaluation Services, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 115 S Main St, Jefferson, Wisconsin |
| Authorized Official Name and Position | Tammy Jane King (CEO) |
| Authorized Official Contact | 9207281125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling & Evaluation Services, Llc 125 E Woolcock St Jefferson WI 53549-1234 Ph: (920) 728-1125 | Community Counseling & Evaluation Services, Llc 115 S Main St Jefferson WI 53549-1631 Ph: (920) 728-1125 |
| NPI Number | 1700390374 |
|---|---|
| Provider Enumeration Date | 11/18/2017 |
| Last Update Date | 11/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700390374 | NPI | - | NPPES |
| 1851710909 | Other | WI | INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 6752-123 (Wisconsin) | Primary |
Wellnite Medical Group Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 E Milwaukee St, Jefferson, WI 53549 Phone: 877-644-6008 | |
K Bare Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1031 S Main Street, Jefferson, WI 53549 Phone: 920-541-3677 Fax: 920-541-3678 | |
Jefferson County Human Services-crisis Intervention, Billing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 Fax: 920-674-6113 | |
Jefferson County Human Service Dept-mental Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 Fax: 920-674-6113 | |
Jefferson County Human Services-comprehensive Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 Fax: 920-674-6113 | |
Jefferson County Human Services - Ccs Billing Provider Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 Fax: 920-674-6113 | |
Family Resources Associates Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 248 S Wisconsin Drive, Jefferson, WI 53549 Phone: 920-261-4100 Fax: 920-261-8801 |