| Mequon Clinical Associates, Llc | |
|
11501 N Port Washington Rd Suite 202 Mequon WI 53092-3465 | |
| (262) 241-7778 | |
| (262) 241-1012 |
| Full Name | Mequon Clinical Associates, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11501 N Port Washington Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Jeannine M. Jeske (OFFICE MANAGER) |
| Authorized Official Contact | 2622417778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mequon Clinical Associates, Llc 11501 N Port Washington Rd Suite 202 Mequon WI 53092-3465 Ph: (262) 241-7778 | Mequon Clinical Associates, Llc 11501 N Port Washington Rd Suite 202 Mequon WI 53092-3465 Ph: (262) 241-7778 |
| NPI Number | 1801939913 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801939913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1607 (Wisconsin) | Primary |
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