| Northwest Counseling & Guidance Clinic | |
|
5655 N. 28th Ave Wausau WI 54401-9709 | |
| (715) 675-5454 | |
| (715) 675-0545 |
| Full Name | Northwest Counseling & Guidance Clinic |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 5655 N. 28th Ave, Wausau, Wisconsin |
| Authorized Official Name and Position | Jackie J Maurer (BILLING OFFICE SUPERVISOR) |
| Authorized Official Contact | 7153274322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Counseling & Guidance Clinic 203 United Way Frederic WI 54837-8938 Ph: (715) 327-4322 | Northwest Counseling & Guidance Clinic 5655 N. 28th Ave Wausau WI 54401-9709 Ph: (715) 675-5454 |
| NPI Number | 1275650350 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 11/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275650350 | NPI | - | NPPES |
| 43007000 | Medicaid | WI | |
| 42626 | Other | MN | HEALTH PARTNERS |
| 85575 | Other | MN | PREFERRED ONE |
| 4300700 | Medicaid | WI |
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