Counseling Connection of Medford LLC

NPI #1568659365 in Medford, Wisconsin

Provider Information

NPI Number
1568659365
Entity Type
Organization
Organization Name
Counseling Connection of Medford LLC
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Sep 26, 2007
Last Updated
Oct 9, 2008

Practice Location

Address
123 W STATE ST
Address 2
SUITE #4
ZIP Code
54451-1772
Phone
(715) 748-4312

Authorized Official

Name
MR. KELLY J. SCHULTZ, L.P.C AND SAC
Title
OWNER AND THERAPIST
Phone
(715) 748-4312

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health

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