Northwest Counseling And Guidance - Northwest Journey - Superior | |
1419 Hill Ave Ste B Superior WI 54880-1951 | |
(715) 395-3805 | |
(715) 424-5720 |
Full Name | Northwest Counseling And Guidance - Northwest Journey - Superior |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 1419 Hill Ave Ste B, Superior, Wisconsin |
Authorized Official Name and Position | Nick Kalambokidis (CFO) |
Authorized Official Contact | 7153274402 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northwest Counseling And Guidance - Northwest Journey - Superior 1412 E Second Street Superior ID 54880 Ph: (715) 395-3805 | Northwest Counseling And Guidance - Northwest Journey - Superior 1419 Hill Ave Ste B Superior WI 54880-1951 Ph: (715) 395-3805 |
NPI Number | 1982821575 |
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Provider Enumeration Date | 04/18/2007 |
Last Update Date | 10/22/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982821575 | NPI | - | NPPES |
HUMANA | Other | HUMANA | |
42626 | Other | MN | HEALTH PARTNERS |
VALUE OPTIONS | Other | VALUE OPTIONS | |
7H956NO | Other | MN | BCBS OF MN |
85575 | Other | MN | PREFERRED ONE |
43004700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | 2074 (Wisconsin) | Primary |
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