| Nakoda Cognitive Behavioral Services, Llc | |
|
204 E Capitol Dr Suite 106 Milwaukee WI 53212-1200 | |
| (414) 332-0886 | |
| (414) 332-0886 |
| Full Name | Nakoda Cognitive Behavioral Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 204 E Capitol Dr, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Geri Mcfadden (PRESIDENT & CEO) |
| Authorized Official Contact | 4143320886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nakoda Cognitive Behavioral Services, Llc 204 East Capitol Drive Suite 106 Milwaukee WISCONSIN 53212 Ph: (414) 332-0886 | Nakoda Cognitive Behavioral Services, Llc 204 E Capitol Dr Suite 106 Milwaukee WI 53212-1200 Ph: (414) 332-0886 |
| NPI Number | 1679707152 |
|---|---|
| Provider Enumeration Date | 05/12/2009 |
| Last Update Date | 05/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679707152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2722 (Wisconsin) | Primary |
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