Northwest Counseling & Guidance Clinic

NPI #1225155393 in Kimberly, Wisconsin

Provider Information

NPI Number
1225155393
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 - Adolescent and Children Mental Health
Enumeration Date
Mar 23, 2007
Last Updated
Aug 15, 2022

Practice Location

Address
1119 W KENNEDY AVE
Address 2
STE A
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
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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