| Clinic For Christian Counseling Llc | |
|
3410 Oakwood Mall Dr Ste 700 Eau Claire WI 54701-2617 | |
| (715) 832-1678 | |
| (715) 832-6680 |
| Full Name | Clinic For Christian Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3410 Oakwood Mall Dr Ste 700, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Kimberly Jean Stein (OWNER) |
| Authorized Official Contact | 7158321678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinic For Christian Counseling Llc 3410 Oakwood Mall Dr Ste 700 Eau Claire WI 54701-2617 Ph: (715) 832-1678 | Clinic For Christian Counseling Llc 3410 Oakwood Mall Dr Ste 700 Eau Claire WI 54701-2617 Ph: (715) 832-1678 |
| NPI Number | 1720135932 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 01/04/2021 |
| Certification Date | 01/04/2021 |
| Medicare PECOS PAC ID | 0547438848 |
|---|---|
| Medicare Enrollment ID | O20110712000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720135932 | NPI | - | NPPES |
| 39285200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 686-125 (Wisconsin) | Primary |
| Provider Name | Carol E Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801116355 PECOS PAC ID: 9335317031 Enrollment ID: I20110725000503 |
| Provider Name | Jennifer J Bargmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417363987 PECOS PAC ID: 8527401033 Enrollment ID: I20240212001299 |
| Provider Name | Kimberly J Stein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518350347 PECOS PAC ID: 1951734904 Enrollment ID: I20240311001722 |
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