Pastoral & Family Therapy Services | |
162 W Main St Suite G Whitewater WI 53190-1995 | |
(262) 473-5005 | |
Not Available |
Full Name | Pastoral & Family Therapy Services |
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Speciality | Community/behavioral Health |
Location | 162 W Main St, Whitewater, Wisconsin |
Authorized Official Name and Position | Donald Michael Norman (OWNER) |
Authorized Official Contact | 2624735005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pastoral & Family Therapy Services 162 W Main St Suite G Whitewater WI 53190-1995 Ph: (262) 473-5005 | Pastoral & Family Therapy Services 162 W Main St Suite G Whitewater WI 53190-1995 Ph: (262) 473-5005 |
NPI Number | 1992957914 |
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Provider Enumeration Date | 10/22/2008 |
Last Update Date | 10/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992957914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 2876-125 (Wisconsin) | Primary |
251S00000X | Community/behavioral Health | 653-124 (Wisconsin) | Secondary |
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