Northwest Counseling and Guidance Clinic- Siren Day Treatment

NPI #1902923568 in Siren, Wisconsin

Provider Information

NPI Number: 1902923568
Entity Type: Organization
Organization Name: Northwest Counseling and Guidance Clinic- Siren Day Treatment
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Mar 26, 2007
Last Updated: Mar 2, 2020

Practice Location

Address: 24996 ST RD 35
City: Siren
State: Wisconsin
ZIP Code: 54872-9239
Phone: (715) 349-7069

Authorized Official

Name: JACKIE MAURER
Title: OFFICE SUPERVISOR
Phone: (715) 349-7069

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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