| Michener Child And Adolescent Counseling, Llc | |
|
1370 S Commercial St Neenah WI 54956-4636 | |
| (920) 268-6940 | |
| Not Available |
| Full Name | Michener Child And Adolescent Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1370 S Commercial St, Neenah, Wisconsin |
| Authorized Official Name and Position | Michelle Michener (OWNER/PROVIDER) |
| Authorized Official Contact | 9202686940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michener Child And Adolescent Counseling, Llc N433 Mapleridge Dr Appleton WI 54915-8754 Ph: (920) 268-6940 | Michener Child And Adolescent Counseling, Llc 1370 S Commercial St Neenah WI 54956-4636 Ph: (920) 268-6940 |
| NPI Number | 1003486523 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 06/28/2021 |
| Certification Date | 06/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003486523 | NPI | - | NPPES |
| 1245830926 | Medicaid | WI | |
| 1336210764 | Medicaid | WI | |
| 1780225292 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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