Premier Medical & Couple Therapy

NPI #1629687108 in Mequon, Wisconsin

Provider Information

NPI Number: 1629687108
Entity Type: Organization
Organization Name: Premier Medical & Couple Therapy
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 30, 2020
Last Updated: Jul 30, 2020

Practice Location

Address: 1025 W GLEN OAKS LN STE 208
City: Mequon
State: Wisconsin
ZIP Code: 53092-3374
Phone: (262) 957-6159

Authorized Official

Name: JEANINE MARIE SWENSON, MD, LMFT
Title: DIRECTOR & OWNER
Phone: (262) 957-6159

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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