| Genesis Counseling Group, S.c. | |
|
890 Elm Grove Rd Suite 4 Elm Grove WI 53122-2528 | |
| (262) 780-0991 | |
| (262) 780-0992 |
| Full Name | Genesis Counseling Group, S.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 890 Elm Grove Rd, Elm Grove, Wisconsin |
| Authorized Official Name and Position | Gary R Gregg (PRESIDENT CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2627800991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Counseling Group, S.c. 890 Elm Grove Rd Suite 4 Elm Grove WI 53122-2528 Ph: (262) 780-0991 | Genesis Counseling Group, S.c. 890 Elm Grove Rd Suite 4 Elm Grove WI 53122-2528 Ph: (262) 780-0991 |
| NPI Number | 1689898272 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689898272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2195 (Wisconsin) | Primary |
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