| Shoreview Counseling Services | |
|
4950 N 21st St Lower Level Milwaukee WI 53209-5750 | |
| (414) 301-1163 | |
| Not Available |
| Full Name | Shoreview Counseling Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4950 N 21st St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Albert L Jackson (CEO) |
| Authorized Official Contact | 4143011163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreview Counseling Services 4950 N 21st St Lower Level Milwaukee WI 53209-5750 Ph: (414) 301-1163 | Shoreview Counseling Services 4950 N 21st St Lower Level Milwaukee WI 53209-5750 Ph: (414) 301-1163 |
| NPI Number | 1962839589 |
|---|---|
| Provider Enumeration Date | 09/27/2013 |
| Last Update Date | 09/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962839589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Wisconsin) | Primary |
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