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Organization
WISCONSIN LUTHERAN CHILD & FAMILY SERVICE
Active
Organization
WISCONSIN LUTHERAN CHILD & FAMILY SERVICE
Active
Other names
Christian Family Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KLUG (CEO)
(888) 685-9522
Entity
Organization
Contact information
Practice address
5300 N MEADE ST, APPLETON, WI 54913-8383
(800) 438-1772
(262) 293-9737
Mailing address
W175N11120 STONEWOOD DR, ATTN LINDA R, GERMANTOWN, WI 53022-6511
(800) 438-1772
(262) 293-9737
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42171800
—
WI
Enumeration date
06/30/2016
Last updated
02/04/2022
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