| Counseling Connection Of Medford Llc | |
|
123 W State St Suite #4 Medford WI 54451-1772 | |
| (715) 748-4312 | |
| (715) 748-4407 |
| Full Name | Counseling Connection Of Medford Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 123 W State St, Medford, Wisconsin |
| Authorized Official Name and Position | Kelly J. Schultz (OWNER AND THERAPIST) |
| Authorized Official Contact | 7157484312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Connection Of Medford Llc 123 W State St Suite #4 Medford WI 54451-1772 Ph: (715) 748-4312 | Counseling Connection Of Medford Llc 123 W State St Suite #4 Medford WI 54451-1772 Ph: (715) 748-4312 |
| NPI Number | 1568659365 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 10/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568659365 | NPI | - | NPPES |
| 43576100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 3054-125 (Wisconsin) | Primary |
North Central Region Ccs Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 College St, Medford, WI 54451 Phone: 715-748-3332 Fax: 715-748-3342 | |
Taylor County Human Services Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 College St, Medford, WI 54451 Phone: 715-748-3332 Fax: 715-748-3342 | |
Evolve With Karen Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 S Main St, Unit F, Medford, WI 54451 Phone: 715-305-8112 Fax: 715-748-0208 | |
Taylor County Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 College Ave, Medford, WI 54451 Phone: 715-748-3332 Fax: 715-748-3342 | |
Northwoods Wilderness Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: W10649 Perkinstown Ave, Medford, WI 54451 Phone: 715-748-0251 | |
Taylor County Human Services Department Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 540 College Ave, Medford, WI 54451 Phone: 715-748-3332 Fax: 715-748-3342 |