| Covenant Counseling Associates, Inc. | |
|
4801 Washington Rd Kenosha WI 53144-4206 | |
| (262) 654-5255 | |
| (262) 681-7791 |
| Full Name | Covenant Counseling Associates, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4801 Washington Rd, Kenosha, Wisconsin |
| Authorized Official Name and Position | Rick D. Czechowicz (PRESIDENT) |
| Authorized Official Contact | 2626817163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Counseling Associates, Inc. 1800 September Dr Racine WI 53402-1856 Ph: () - | Covenant Counseling Associates, Inc. 4801 Washington Rd Kenosha WI 53144-4206 Ph: (262) 654-5255 |
| NPI Number | 1467644922 |
|---|---|
| Provider Enumeration Date | 08/17/2007 |
| Last Update Date | 08/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467644922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1258 (Wisconsin) | Primary |
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