| Appleton Psychiatric & Counseling Center | |
|
477 S Nicolet Rd Appleton WI 54914-8270 | |
| (920) 882-6610 | |
| (920) 882-6611 |
| Full Name | Appleton Psychiatric & Counseling Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 477 S Nicolet Rd, Appleton, Wisconsin |
| Authorized Official Name and Position | Victoria A Gossens (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9208826610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Appleton Psychiatric & Counseling Center 477 S Nicolet Rd Appleton WI 54914-8270 Ph: (920) 882-6610 | Appleton Psychiatric & Counseling Center 477 S Nicolet Rd Appleton WI 54914-8270 Ph: (920) 882-6610 |
| NPI Number | 1992858179 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992858179 | NPI | - | NPPES |
| 39625900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 802 123 (Wisconsin) | Primary |
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