| Independent Assessment & Counseling Services | |
|
1345 W Mason St Suite 200 Green Bay WI 54303-2049 | |
| (920) 438-8141 | |
| (920) 438-7993 |
| Full Name | Independent Assessment & Counseling Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1345 W Mason St, Green Bay, Wisconsin |
| Authorized Official Name and Position | Kenneth Roy Sann (OWNER) |
| Authorized Official Contact | 9204388141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Assessment & Counseling Services 1345 W Mason St Suite 200 Green Bay WI 54303-2049 Ph: (920) 438-8141 | Independent Assessment & Counseling Services 1345 W Mason St Suite 200 Green Bay WI 54303-2049 Ph: (920) 438-8141 |
| NPI Number | 1801939467 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801939467 | NPI | - | NPPES |
| 42224300 | Medicaid | WI |
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