| North Star Counseling Services, Llc | |
|
W175n11163 Stonewood Dr. Suite 225 Germantown WI 53022-6503 | |
| (262) 257-0500 | |
| Not Available |
| Full Name | North Star Counseling Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | W175n11163 Stonewood Dr., Germantown, Wisconsin |
| Authorized Official Name and Position | Darci Shook-woolley (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2622570500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Counseling Services, Llc W175n11163 Stonewood Dr. Suite 225 Germantown WI 53022-6503 Ph: (262) 257-0500 | North Star Counseling Services, Llc W175n11163 Stonewood Dr. Suite 225 Germantown WI 53022-6503 Ph: (262) 257-0500 |
| NPI Number | 1295715472 |
|---|---|
| Provider Enumeration Date | 01/22/2006 |
| Last Update Date | 09/09/2020 |
| Certification Date | 09/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295715472 | NPI | - | NPPES |
| 43568200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2451-057 (Wisconsin) | Primary |
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