# LUTHERAN COUNSELING AND FAMILY SERVICES WISCONSIN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033661830
- **Authorized official:** DEB RAEBURN LPC (CEO)
- **Authorized official phone:** (414) 536-8334

## Contact information

- **Practice address:** 3800 N MAYFAIR RD, WAUWATOSA, WI 53222-2213
- **Practice address phone:** (414) 536-8333
- **Practice address fax:** (414) 536-8348
- **Mailing address:** 3800 N MAYFAIR RD, WAUWATOSA, WI 53222-2213
- **Mailing address phone:** (414) 536-8333
- **Mailing address fax:** (414) 536-8348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 6102 | WI | Yes |

## Other

- **Enumeration date:** 10/27/2016
- **Last updated:** 10/27/2016