Northwest Counseling & Guidance Clinic

NPI #1063721017 in Kimberly, Wisconsin

Provider Information

NPI Number: 1063721017
Entity Type: Organization
Organization Name: Northwest Counseling & Guidance Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: NORTHWEST COUNSELING & GUIDANCE CLINIC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 24, 2010
Last Updated: Aug 15, 2022

Practice Location

Address: 1119 W KENNEDY AVE
Address 2: SUITE A
City: Kimberly
State: Wisconsin
ZIP Code: 54136-2213
Phone: (920) 364-9668

Authorized Official

Name: JACKIE J MAURER
Title: OFFICE SUPERVISOR
Phone: (715) 349-7069

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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