| Cloverleaf Counseling, Llc | |
|
3019 W Spencer St #202 Appleton WI 54914-5945 | |
| (920) 843-0091 | |
| (855) 849-3178 |
| Full Name | Cloverleaf Counseling, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 3019 W Spencer St, Appleton, Wisconsin |
| Authorized Official Name and Position | Thomas John Zakrzewski (OWNER) |
| Authorized Official Contact | 9208430091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cloverleaf Counseling, Llc 3019 W Spencer St #202 Appleton WI 54914-5945 Ph: (920) 843-0091 | Cloverleaf Counseling, Llc 3019 W Spencer St #202 Appleton WI 54914-5945 Ph: (920) 843-0091 |
| NPI Number | 1962938381 |
|---|---|
| Provider Enumeration Date | 05/04/2017 |
| Last Update Date | 05/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962938381 | NPI | - | NPPES |
| 7452-123 | Other | WI | STATE LICENSE WISCONSIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 7452-123 (Wisconsin) | Primary |
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