| Bayshore Counseling Network | |
|
2345 E Mason St Green Bay WI 54302-3764 | |
| (920) 469-8890 | |
| (920) 406-3909 |
| Full Name | Bayshore Counseling Network |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2345 E Mason St, Green Bay, Wisconsin |
| Authorized Official Name and Position | Mari C Martin (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9204698890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayshore Counseling Network 2345 E Mason St Green Bay WI 54302-3764 Ph: (920) 469-8890 | Bayshore Counseling Network 2345 E Mason St Green Bay WI 54302-3764 Ph: (920) 469-8890 |
| NPI Number | 1437336583 |
|---|---|
| Provider Enumeration Date | 01/30/2008 |
| Last Update Date | 01/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437336583 | NPI | - | NPPES |
| 42210300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1951-125 (Wisconsin) | Primary |
| 251S00000X | Community/behavioral Health | 13018-020 (Wisconsin) | Secondary |
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