Northwest Counseling and Guidance Clinic

NPI #1942594791 in Siren, Wisconsin

Provider Information

NPI Number: 1942594791
Entity Type: Organization
Organization Name: Northwest Counseling and Guidance Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: NORTHWEST COUNSELING AND GUIDANCE CLINIC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 8, 2011
Last Updated: Jun 8, 2011

Practice Location

Address: 7670 JOHNSON STREET
City: Siren
State: Wisconsin
ZIP Code: 54872-3993
Phone: (715) 349-2829

Authorized Official

Name: NICK KALAMBOKIDIS
Title: CFO
Phone: (715) 327-4322

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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