| Wisconsin Lutheran Child & Family Service | |
|
3399 Division Rd Jackson WI 53037-9707 | |
| (800) 438-1772 | |
| (262) 293-9737 |
| Full Name | Wisconsin Lutheran Child & Family Service |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3399 Division Rd, Jackson, Wisconsin |
| Authorized Official Name and Position | Marc Klug (CEO) |
| Authorized Official Contact | 8886859522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Lutheran Child & Family Service W175n11120 Stonewood Dr Attn: Linda Rangel Germantown WI 53022-6511 Ph: (800) 438-1772 | Wisconsin Lutheran Child & Family Service 3399 Division Rd Jackson WI 53037-9707 Ph: (800) 438-1772 |
| NPI Number | 1639520612 |
|---|---|
| Provider Enumeration Date | 06/30/2016 |
| Last Update Date | 06/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639520612 | NPI | - | NPPES |
| 42223600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Medvidi Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: N168w20379 Main St # 1008, Jackson, WI 53037 Phone: 504-414-5095 |