| Stoughton Family Counseling Services | |
|
1520 Vernon St Stoughton WI 53589-2260 | |
| (608) 873-6422 | |
| Not Available |
| Full Name | Stoughton Family Counseling Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1520 Vernon St, Stoughton, Wisconsin |
| Authorized Official Name and Position | David W Druckenbrod (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6088731844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stoughton Family Counseling Services 1520 Vernon St Stoughton WI 53589-2260 Ph: (608) 873-6422 | Stoughton Family Counseling Services 1520 Vernon St Stoughton WI 53589-2260 Ph: (608) 873-6422 |
| NPI Number | 1942352869 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 06/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942352869 | NPI | - | NPPES |
| 42111800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1883 (Wisconsin) | Primary |
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