Cedar Lake Counseling, Sc

NPI #1255790630 in Mequon, Wisconsin

Provider Information

NPI Number: 1255790630
Entity Type: Organization
Organization Name: Cedar Lake Counseling, Sc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 15, 2016
Last Updated: Oct 11, 2018

Practice Location

Address: 1035 W GLEN OAKS LN STE 110
City: Mequon
State: Wisconsin
ZIP Code: 53092-3392
Phone: (262) 244-6178

Authorized Official

Name: SOLVITA BORG, RN
Title: MANAGER/ADMIN
Phone: (262) 244-6178

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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