| Cedar Creek Counseling, S.c. | |
|
1035 W Glen Oaks Ln Suite 110 Mequon WI 53092-3392 | |
| (262) 240-0299 | |
| (262) 240-0308 |
| Full Name | Cedar Creek Counseling, S.c. |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 1035 W Glen Oaks Ln, Mequon, Wisconsin |
| Authorized Official Name and Position | Byron C Bloemer (PSYCHOLOGIST) |
| Authorized Official Contact | 2622400299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Creek Counseling, S.c. 1035 W Glen Oaks Ln Suite 110 Mequon WI 53092-3392 Ph: (262) 240-0299 | Cedar Creek Counseling, S.c. 1035 W Glen Oaks Ln Suite 110 Mequon WI 53092-3392 Ph: (262) 240-0299 |
| NPI Number | 1134355308 |
|---|---|
| Provider Enumeration Date | 06/02/2009 |
| Last Update Date | 09/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134355308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 057-2140 (Wisconsin) | Primary |
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