| Journey House International Center | |
|
8032 22nd Ave # 5151 Kenosha WI 53143-6208 | |
| (262) 289-4378 | |
| (262) 288-4353 |
| Full Name | Journey House International Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8032 22nd Ave # 5151, Kenosha, Wisconsin |
| Authorized Official Name and Position | Lorice Pearson (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 2622894378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey House International Center 8032 22nd Ave # 5151 Kenosha WI 53143-6208 Ph: (262) 289-4378 | Journey House International Center 8032 22nd Ave # 5151 Kenosha WI 53143-6208 Ph: (262) 289-4378 |
| NPI Number | 1053009449 |
|---|---|
| Provider Enumeration Date | 04/25/2023 |
| Last Update Date | 04/25/2023 |
| Certification Date | 04/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053009449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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