| Respect Counseling Center Llc | |
|
302 State St Suite B Oshkosh WI 54901-4847 | |
| (920) 230-2207 | |
| (920) 230-2208 |
| Full Name | Respect Counseling Center Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 302 State St, Oshkosh, Wisconsin |
| Authorized Official Name and Position | Blu A Kallies (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 9202302207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Respect Counseling Center Llc 302 State St Suite B Oshkosh WI 54901-4847 Ph: (920) 230-2207 | Respect Counseling Center Llc 302 State St Suite B Oshkosh WI 54901-4847 Ph: (920) 230-2207 |
| NPI Number | 1952665044 |
|---|---|
| Provider Enumeration Date | 07/03/2012 |
| Last Update Date | 07/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952665044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 803-124 (Wisconsin) | Primary |
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