Northwest Counseling & Guidance Clinic

NPI #1104990530 in Frederic, Wisconsin

Provider Information

NPI Number: 1104990530
Entity Type: Organization
Organization Name: Northwest Counseling & Guidance Clinic
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 18, 2006
Last Updated: Mar 27, 2012

Practice Location

Address: 203 UNITED WAY DRIVE
City: Frederic
State: Wisconsin
ZIP Code: 54837-8938
Phone: (715) 327-4402

Authorized Official

Name: JACKIE J MAURER
Title: BUSINESS OFFICE SUPERVISOR
Phone: (715) 327-4322

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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