| Living Hope Christian Counseling | |
|
2066 Lawrence Dr De Pere WI 54115-9421 | |
| (920) 338-8699 | |
| Not Available |
| Full Name | Living Hope Christian Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2066 Lawrence Dr, De Pere, Wisconsin |
| Authorized Official Name and Position | John Carl Johnson (PSYCHOLOGIST) |
| Authorized Official Contact | 9203388699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Hope Christian Counseling 2066 Lawrence Dr De Pere WI 54115-9421 Ph: (920) 338-8699 | Living Hope Christian Counseling 2066 Lawrence Dr De Pere WI 54115-9421 Ph: (920) 338-8699 |
| NPI Number | 1720026107 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 09/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720026107 | NPI | - | NPPES |
| 41005200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1752 (Wisconsin) | Primary |
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