| Northstar Counseling Group Llc | |
|
17 Forest Ave Ste 15 Fond Du Lac WI 54935-4165 | |
| (414) 253-1227 | |
| Not Available |
| Full Name | Northstar Counseling Group Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 17 Forest Ave Ste 15, Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | Anthony Penton (OWNER) |
| Authorized Official Contact | 4142531227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstar Counseling Group Llc 17 Forest Ave Ste 15 Fond Du Lac WI 54935-4165 Ph: (414) 253-1227 | Northstar Counseling Group Llc 17 Forest Ave Ste 15 Fond Du Lac WI 54935-4165 Ph: (414) 253-1227 |
| NPI Number | 1609739911 |
|---|---|
| Provider Enumeration Date | 12/04/2025 |
| Last Update Date | 12/04/2025 |
| Certification Date | 12/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609739911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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