| Wisconsin Community Mental Health Counseling Centers, Inc | |
|
10532 N Port Washington Rd Suite 1b Mequon WI 53092-5563 | |
| (262) 242-3810 | |
| (262) 242-3816 |
| Full Name | Wisconsin Community Mental Health Counseling Centers, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10532 N Port Washington Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Lawrence A Kane (OWNER) |
| Authorized Official Contact | 2622423810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Community Mental Health Counseling Centers, Inc 10532 N Port Washington Rd Suite 1b Mequon WI 53092-5563 Ph: (262) 242-3810 | Wisconsin Community Mental Health Counseling Centers, Inc 10532 N Port Washington Rd Suite 1b Mequon WI 53092-5563 Ph: (262) 242-3810 |
| NPI Number | 1558440552 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 02/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558440552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1991 (Wisconsin) | Primary |
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