| Integrated Counseling Center Llc | |
|
N6687 Wrightway Dr Ste D Fond Du Lac WI 54937-8433 | |
| (920) 929-9140 | |
| (920) 929-9142 |
| Full Name | Integrated Counseling Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | N6687 Wrightway Dr Ste D, Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | Rosonna Sue Comers (OWNER) |
| Authorized Official Contact | 9209299140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Counseling Center Llc N6687 Wrightway Dr Ste D Fond Du Lac WI 54937-8433 Ph: (920) 929-9140 | Integrated Counseling Center Llc N6687 Wrightway Dr Ste D Fond Du Lac WI 54937-8433 Ph: (920) 929-9140 |
| NPI Number | 1104053701 |
|---|---|
| Provider Enumeration Date | 06/22/2009 |
| Last Update Date | 06/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104053701 | NPI | - | NPPES |
| 422-43800 | Medicaid | WI |
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