Christian Life Counseling LLC
NPI #1659466860 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1659466860
- Entity Type
- Organization
- Organization Name
- Christian Life Counseling LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Apr 26, 2018
Practice Location
- Address
- 12630 W NORTH AVE BLDG E
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53005-4626
- Phone
- (262) 785-1008
Authorized Official
- Name
- JENNIFER MENGO
- Title
- ADMINISTRATOR
- Phone
- (262) 785-1008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Social Worker - Clinical — Clinical |
| Marriage & Family Therapist |
| Psychologist - Clinical — Clinical |
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