| Taylor County Human Services | |
|
540 College Ave Medford WI 54451-2027 | |
| (715) 748-3332 | |
| (715) 748-3342 |
| Full Name | Taylor County Human Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 540 College Ave, Medford, Wisconsin |
| Authorized Official Name and Position | Karen Sue Jacobson (CERTIFIED SUBSTANCE ABUSE COUNSELOR) |
| Authorized Official Contact | 7157483332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor County Human Services 540 College Ave Medford WI 54451-2027 Ph: (715) 748-3332 | Taylor County Human Services 540 College Ave Medford WI 54451-2027 Ph: (715) 748-3332 |
| NPI Number | 1538373022 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 12/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538373022 | NPI | - | NPPES |
| 72970 | Other | WI | SECURITY HEALTH PLAN INS |
| 11414 | Other | WI | STATE LICENSE NUMBER |
| 39385400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11414 (Wisconsin) | Primary |
North Central Region Ccs Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 College St, Medford, WI 54451 Phone: 715-748-3332 Fax: 715-748-3342 | |
Taylor County Human Services Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 College St, Medford, WI 54451 Phone: 715-748-3332 Fax: 715-748-3342 | |
Evolve With Karen Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 S Main St, Unit F, Medford, WI 54451 Phone: 715-305-8112 Fax: 715-748-0208 | |
Counseling Connection Of Medford Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 W State St, Suite #4, Medford, WI 54451 Phone: 715-748-4312 Fax: 715-748-4407 | |
Northwoods Wilderness Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: W10649 Perkinstown Ave, Medford, WI 54451 Phone: 715-748-0251 | |
Taylor County Human Services Department Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 540 College Ave, Medford, WI 54451 Phone: 715-748-3332 Fax: 715-748-3342 |