| O'connell, Long And Associates Counseling Services | |
|
160 E Geneva Sq Lake Geneva WI 53147-9694 | |
| (262) 278-6146 | |
| Not Available |
| Full Name | O'connell, Long And Associates Counseling Services |
|---|---|
| Speciality | Clinic/center |
| Location | 160 E Geneva Sq, Lake Geneva, Wisconsin |
| Authorized Official Name and Position | Susan B O'connell (SECRETARY/TREASURER) |
| Authorized Official Contact | 2622786146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| O'connell, Long And Associates Counseling Services Po Box 634 East Troy WI 53120-0634 Ph: (262) 278-6146 | O'connell, Long And Associates Counseling Services 160 E Geneva Sq Lake Geneva WI 53147-9694 Ph: (262) 278-6146 |
| NPI Number | 1588751853 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 01/24/2020 |
| Certification Date | 01/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588751853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (Wisconsin) | Primary |
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