| Harbor North Counseling | |
|
14 East Bayfield St Washburn WI 54891-0003 | |
| (715) 373-0480 | |
| (715) 373-0480 |
| Full Name | Harbor North Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14 East Bayfield St, Washburn, Wisconsin |
| Authorized Official Name and Position | Timothy Phillip Faust (DIRECTOR HARBOR NORTH COUNSELING) |
| Authorized Official Contact | 7153730480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor North Counseling Po Box 3 14 East Bayfield St Washburn WI 54891-0003 Ph: (715) 373-0480 | Harbor North Counseling 14 East Bayfield St Washburn WI 54891-0003 Ph: (715) 373-0480 |
| NPI Number | 1821294539 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821294539 | NPI | - | NPPES |
| 4220850 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW4352123 (Wisconsin) | Primary |
Bay Area Mental Health Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Thompson Rd, Washburn, WI 54891 Phone: 715-373-2233 Fax: 715-373-5530 | |
James Eldon Lean Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Thompson Rd, Washburn, WI 54891 Phone: 715-373-5388 |