| Evergreen Counseling, Llc | |
|
W69n410 Foxpointe Ave. Cedarburg WI 53012 | |
| (847) 791-1782 | |
| Not Available |
| Full Name | Evergreen Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | W69n410 Foxpointe Ave., Cedarburg, Wisconsin |
| Authorized Official Name and Position | Laura Susan Zajkowski (OWNER) |
| Authorized Official Contact | 8477911782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Counseling, Llc W69n410 Foxpointe Ave. Cedarburg WI 53012 Ph: (847) 791-1782 | Evergreen Counseling, Llc W69n410 Foxpointe Ave. Cedarburg WI 53012 Ph: (847) 791-1782 |
| NPI Number | 1265250948 |
|---|---|
| Provider Enumeration Date | 10/01/2024 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265250948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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