| Oneida Nation | |
|
2640 West Point Rd Green Bay WI 54304 | |
| (920) 490-3790 | |
| (920) 490-3845 |
| Full Name | Oneida Nation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2640 West Point Rd, Green Bay, Wisconsin |
| Authorized Official Name and Position | Mari Kriescher (MANAGER) |
| Authorized Official Contact | 9204903737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oneida Nation P O Box 365 Oneida WI 54155 Ph: (920) 490-3790 | Oneida Nation 2640 West Point Rd Green Bay WI 54304 Ph: (920) 490-3790 |
| NPI Number | 1255562344 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 12/03/2020 |
| Certification Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255562344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 15395132 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7211123 (Wisconsin) | Primary |
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