| Cedar Creek Family Counseling, Inc | |
|
9910 W. Layton Ave Suite 2 Greenfield WI 53228 | |
| (414) 427-4884 | |
| (414) 427-4889 |
| Full Name | Cedar Creek Family Counseling, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 9910 W. Layton Ave, Greenfield, Wisconsin |
| Authorized Official Name and Position | Buckley F Meade (OWNER PROGRAM DIRECTOR) |
| Authorized Official Contact | 4144274884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Creek Family Counseling, Inc 9910 W. Layton Ave. Suite 2 Greenfield WI 53228 Ph: (414) 427-4884 | Cedar Creek Family Counseling, Inc 9910 W. Layton Ave Suite 2 Greenfield WI 53228 Ph: (414) 427-4884 |
| NPI Number | 1609814367 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 06/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609814367 | NPI | - | NPPES |
| 42188500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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