| Mcn Center Of Wisconsin Llc | |
|
4475 Milton Avenue Janesville WI 53546 | |
| (608) 563-1003 | |
| Not Available |
| Full Name | Mcn Center Of Wisconsin Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4475 Milton Avenue, Janesville, Wisconsin |
| Authorized Official Name and Position | Corina Helgestad (OWNER) |
| Authorized Official Contact | 6085308827 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcn Center Of Wisconsin Llc 4475 Milton Avenue Janesville WI 53546 Ph: (608) 563-1003 | Mcn Center Of Wisconsin Llc 4475 Milton Avenue Janesville WI 53546 Ph: (608) 563-1003 |
| NPI Number | 1558188573 |
|---|---|
| Provider Enumeration Date | 09/21/2024 |
| Last Update Date | 09/21/2024 |
| Certification Date | 09/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558188573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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