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1910 County Road Nn Elkhorn WI 53121-4454 | |
(262) 741-3200 | |
(262) 741-3217 |
Full Name | |
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Speciality | Social Worker |
Location | 1910 County Road Nn, Elkhorn, Wisconsin |
Authorized Official Name and Position | Carlo Jon Nevicosi (DIRECTOR) |
Authorized Official Contact | 2627413200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1005 Elkhorn WI 53121-1005 Ph: (262) 741-3200 | 1910 County Road Nn Elkhorn WI 53121-4454 Ph: (262) 741-3200 |
NPI Number | 1881931608 |
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Provider Enumeration Date | 01/14/2013 |
Last Update Date | 08/28/2023 |
Certification Date | 08/28/2023 |
Identifier | Type | State | Issuer |
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1881931608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
Enlightened Journey Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: N6538 Aspen Rd, Elkhorn, WI 53121 Phone: 262-249-6555 | |
All Encompassing Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 O'connor Drive, Elkhorn, WI 53121 Phone: 262-374-5251 |