| Freedom Counseling | |
|
2141 Altoona Ave Suite C Eau Claire WI 54701-3429 | |
| (715) 552-7350 | |
| Not Available |
| Full Name | Freedom Counseling |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2141 Altoona Ave, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Michael Lace (PSYCHOLOGIST) |
| Authorized Official Contact | 7158388898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Counseling Po Box 1426 Eau Claire WI 54702-1426 Ph: (715) 552-7350 | Freedom Counseling 2141 Altoona Ave Suite C Eau Claire WI 54701-3429 Ph: (715) 552-7350 |
| NPI Number | 1104026665 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 07/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104026665 | NPI | - | NPPES |
| 39365600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 33333 (Wisconsin) | Primary |
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