Mcn Center Of Wisconsin Llc | |
4475 Milton Avenue Janesville WI 53546 | |
(608) 563-1003 | |
Not Available |
Full Name | Mcn Center Of Wisconsin Llc |
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Speciality | Counselor |
Location | 4475 Milton Avenue, Janesville, Wisconsin |
Authorized Official Name and Position | Corina Helgestad (OWNER) |
Authorized Official Contact | 6085308827 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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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 |
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Provider Enumeration Date | 09/21/2024 |
Last Update Date | 09/21/2024 |
Certification Date | 09/21/2024 |
Medicare PECOS PAC ID | 7416480561 |
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Medicare Enrollment ID | O20241028001573 |
Identifier | Type | State | Issuer |
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1558188573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Corina Helgestad |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1568884054 PECOS PAC ID: 2365975513 Enrollment ID: I20241028001410 |
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