| Red Oak Counseling Of Wisconsin | |
|
12970 W Bluemound Rd Ste 200 Elm Grove WI 53122-2607 | |
| (704) 506-6267 | |
| Not Available |
| Full Name | Red Oak Counseling Of Wisconsin |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 12970 W Bluemound Rd Ste 200, Elm Grove, Wisconsin |
| Authorized Official Name and Position | Leslie Johnson (CEO) |
| Authorized Official Contact | 7045066267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Oak Counseling Of Wisconsin 11000 Optum Cir Eden Prairie MN 55344-2503 Ph: (704) 506-6267 | Red Oak Counseling Of Wisconsin 12970 W Bluemound Rd Ste 200 Elm Grove WI 53122-2607 Ph: (704) 506-6267 |
| NPI Number | 1750151189 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750151189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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