| Stillwater Counseling Center | |
|
933 N Mayfair Rd Suite 303 Wauwatosa WI 53226-3432 | |
| (414) 456-9929 | |
| (414) 456-9994 |
| Full Name | Stillwater Counseling Center |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 933 N Mayfair Rd, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Helen M Ponec (CO DIRECTOR PSYCHOTHERAPIST) |
| Authorized Official Contact | 4144569929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Counseling Center 933 N Mayfair Rd Suite 303 Wauwatosa WI 53226-3432 Ph: (414) 456-9929 | Stillwater Counseling Center 933 N Mayfair Rd Suite 303 Wauwatosa WI 53226-3432 Ph: (414) 456-9929 |
| NPI Number | 1053474510 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 12/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053474510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | 1881 (Wisconsin) | Primary |
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