| Northwest Counseling & Guidance Clinic | |
|
2916 Borham Ave Ste A Stevens Point WI 54481-5099 | |
| (715) 997-9486 | |
| (888) 625-8634 |
| Full Name | Northwest Counseling & Guidance Clinic |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2916 Borham Ave, Stevens Point, Wisconsin |
| Authorized Official Name and Position | Jackie J Maurer (OFFICE SUPERVISOR) |
| Authorized Official Contact | 7153497069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Counseling & Guidance Clinic Po Box 309 Siren WI 54872-0309 Ph: (715) 349-7069 | Northwest Counseling & Guidance Clinic 2916 Borham Ave Ste A Stevens Point WI 54481-5099 Ph: (715) 997-9486 |
| NPI Number | 1750409934 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/19/2022 |
| Certification Date | 08/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750409934 | NPI | - | NPPES |
| 85575 | Other | MN | PREFERRED ONE |
| 42626 | Other | MN | HEALTH PARTNERS |
| 7H956NO | Other | WI | BCBS OF MN |
| 43007300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 2404 (Wisconsin) | Primary |
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