| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 517 Beaser Ave, Ashland, Wisconsin |
| Authorized Official Name and Position | Michael Allan Turgeon (PRESIDENT) |
| Authorized Official Contact | 7154682841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 265 Shell Lake WI 54871 Ph: (715) 468-2841 | 517 Beaser Ave Ashland WI 54806 Ph: (715) 682-1160 |
| NPI Number | 1861675837 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 07/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861675837 | NPI | - | NPPES |
| 42250000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2786120 (Wisconsin) | Primary |
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