| Rising Hope Family Counseling Center, Llc | |
|
1486 Kenwood Dr Menasha WI 54952-1133 | |
| (920) 739-2100 | |
| Not Available |
| Full Name | Rising Hope Family Counseling Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1486 Kenwood Dr, Menasha, Wisconsin |
| Authorized Official Name and Position | Christine Marie Vander Wielen (OWNER) |
| Authorized Official Contact | 9209157198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Hope Family Counseling Center, Llc 1486 Kenwood Dr Menasha WI 54952-1133 Ph: (920) 915-7198 | Rising Hope Family Counseling Center, Llc 1486 Kenwood Dr Menasha WI 54952-1133 Ph: (920) 739-2100 |
| NPI Number | 1992061022 |
|---|---|
| Provider Enumeration Date | 04/03/2012 |
| Last Update Date | 12/12/2022 |
| Certification Date | 12/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992061022 | NPI | - | NPPES |
| 7710-123 | Other | WI | STATE OF WISCONSIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7710-123 (Wisconsin) | Primary |
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