| Child And Adult Psychotherapy Clinic, Llc | |
|
230 W Wells St Milwaukee WI 53203-1866 | |
| (414) 380-3327 | |
| (414) 276-6819 |
| Full Name | Child And Adult Psychotherapy Clinic, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 230 W Wells St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Janice E. Lieber (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 4143803327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Adult Psychotherapy Clinic, Llc 230 W Wells St Milwaukee WI 53203-1866 Ph: (414) 380-3327 | Child And Adult Psychotherapy Clinic, Llc 230 W Wells St Milwaukee WI 53203-1866 Ph: (414) 380-3327 |
| NPI Number | 1093124083 |
|---|---|
| Provider Enumeration Date | 08/04/2014 |
| Last Update Date | 08/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093124083 | NPI | - | NPPES |
| 1871602870 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 3394123 (Wisconsin) | Primary |
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