# CHILD AND FAMILY CONSULTANTS

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

## Provider details

- **NPI number:** 1063693273
- **Authorized official:** CHERYL KAY ROTHERHAM M.S. (OWNER/THERAPIST/PRESIDENT)
- **Authorized official phone:** (920) 497-0788

## Contact information

- **Practice address:** 840 WILLARD DR, SUITE 201, GREEN BAY, WI 54304-5204
- **Practice address phone:** (920) 497-0788
- **Practice address fax:** (920) 497-0792
- **Mailing address:** 840 WILLARD DR, SUITE 201, GREEN BAY, WI 54304-5204
- **Mailing address phone:** (920) 497-0788
- **Mailing address fax:** (920) 497-0792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 40554-020 | WI | Yes |

## Other

- **Enumeration date:** 11/15/2007
- **Last updated:** 11/15/2007