Great Lakes Clinic and Consultants

NPI #1780159004 in Sheboygan, Wisconsin

Provider Information

NPI Number
1780159004
Entity Type
Organization
Organization Name
Great Lakes Clinic and Consultants
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Oct 13, 2018
Last Updated
Apr 16, 2025

Practice Location

Address
1407 NORTH 8TH STREET
Address 2
SUITE 203
ZIP Code
53081
Phone
(920) 415-0505

Authorized Official

Name
DAVID DICH, LCSW
Title
CEO
Phone
(920) 415-0505

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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