| Family Resources Associates Inc | |
|
248 S Wisconsin Drive Jefferson WI 53549 | |
| (920) 261-4100 | |
| (920) 261-8801 |
| Full Name | Family Resources Associates Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 248 S Wisconsin Drive, Jefferson, Wisconsin |
| Authorized Official Name and Position | Nikki L Kueffer (BUSINESS MANAGER) |
| Authorized Official Contact | 9202614100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Resources Associates Inc Po Box 364 Watertown WI 53094-0364 Ph: (920) 261-4100 | Family Resources Associates Inc 248 S Wisconsin Drive Jefferson WI 53549 Ph: (920) 261-4100 |
| NPI Number | 1497960645 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 09/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497960645 | NPI | - | NPPES |
| 42177600 | Medicaid | WI | |
| 326643 | Other | WI | VALUE OPTIONS |
| 546292 | Other | WI | DEON |
| 215861 | Other | WI | MHN INSURANCE |
| 28146151 | Other | WI | WAUSAU BENEFITS INS |
| 68376 | Other | WI | WPPN MULTIPLAN INS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1326 (Wisconsin) | Primary |
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