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Organization
AFFILIATED COUNSELING CENTER, INC
Active
Organization
AFFILIATED COUNSELING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL MASSIE LCSW (AUTHORIZED OFFICIAL)
(920) 887-8751
Entity
Organization
Contact information
Practice address
1807 N CENTER ST STE 204, BEAVER DAM, WI 53916-1005
(920) 887-8751
(920) 887-3977
Mailing address
1807 N CENTER ST STE 204, BEAVER DAM, WI 53916-1005
(920) 887-8751
(920) 887-3977
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42187100
—
WI
Enumeration date
01/29/2007
Last updated
06/26/2025
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