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110 24th St S Wisconsin Rapids WI 54494-1906 | |
| (715) 424-5040 | |
| (715) 424-5720 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 110 24th St S, Wisconsin Rapids, 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 |
|---|---|
110 24th St S Wisconsin Rapids WI 54494-1906 Ph: (715) 424-5040 | 110 24th St S Wisconsin Rapids WI 54494-1906 Ph: (715) 424-5040 |
| NPI Number | 1417275231 |
|---|---|
| Provider Enumeration Date | 05/05/2010 |
| Last Update Date | 05/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417275231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Cline Counseling And Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7151 Evergreen Ave, Wisconsin Rapids, WI 54494 Phone: 920-454-0314 | |
Central Wisconsin Counseling Associates, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 320 W Grand Ave, Suite 304a, Wisconsin Rapids, WI 54495 Phone: 715-424-6960 Fax: 715-424-6963 | |