| Entrusted Counseling Services, Llc | |
|
2317 Webster St Racine WI 53403-3056 | |
| (262) 960-1548 | |
| Not Available |
| Full Name | Entrusted Counseling Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2317 Webster St, Racine, Wisconsin |
| Authorized Official Name and Position | Mildred Marie Spann (THERAPIST) |
| Authorized Official Contact | 2629601548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Entrusted Counseling Services, Llc 2317 Webster St Racine WI 53403-3056 Ph: (262) 960-1548 | Entrusted Counseling Services, Llc 2317 Webster St Racine WI 53403-3056 Ph: (262) 960-1548 |
| NPI Number | 1477894244 |
|---|---|
| Provider Enumeration Date | 03/04/2013 |
| Last Update Date | 03/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477894244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 7919-123 (Wisconsin) | Primary |
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